Peripherally Inserted Central Catheters in Patients With Advanced Chronic Kidney Disease
Authors: Edward L. Goodman
Journal: Annals of Internal Medicine (2019)

Letters5 November 2019Peripherally Inserted Central Catheters in Patients With Advanced Chronic Kidney DiseaseEdward L. Goodman, MDEdward L. Goodman, MDUT Southwestern Medical School and Texas Health Resources, Dallas, Texas (E.L.G.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0536 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Paje and colleagues' (1) prospective cohort study and Silver's (2) accompanying editorial noted that use of peripherally inserted central catheters (PICCs) in patients with chronic kidney disease (CKD) could compromise future fistula placement. The most common indication for PICC placement was intravenous antibiotics (37.6%); it is thus important to note that recent literature emphasizes earlier initiation of oral antibiotic therapy instead of continued intravenous therapy. In 2012, Spellberg and Lipsky (3) contended that much of the literature supports the use of oral therapy for osteomyelitis. More recently, 2 articles from 2019 suggest a role for oral step-down ...References1. Paje D, Rogers MAM, Conlon A, et al. Use of peripherally inserted central catheters in patients with advanced chronic kidney disease: a prospective cohort study. Ann Intern Med. 2019;171:10-8. [PMID: 31158846]. doi:10.7326/M18-2937 LinkGoogle Scholar2. Silver MR. Saving veins, saving lives, for patients with chronic kidney disease. Ann Intern Med. 2019;171:60-1. [PMID: 31158848]. doi:10.7326/M19-1086 LinkGoogle Scholar3. Spellberg B, Lipsky BA. Systemic antibiotic therapy for chronic osteomyelitis in adults. Clin Infect Dis. 2012;54:393-407. [PMID: 22157324] doi:10.1093/cid/cir842 CrossrefMedlineGoogle Scholar4. Li HK, Rombach I, Zambellas R, et al; OVIVA Trial Collaborators. Oral versus intravenous antibiotics for bone and joint infection. N Engl J Med. 2019;380:425-36. [PMID: 30699315] doi:10.1056/NEJMoa1710926 CrossrefMedlineGoogle Scholar5. Iversen K, Ihlemann N, Gill SU, et al. Partial oral versus intravenous antibiotic treatment of endocarditis. N Engl J Med. 2019;380:415-24. [PMID: 30152252] doi:10.1056/NEJMoa1808312 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: UT Southwestern Medical School and Texas Health Resources, Dallas, Texas (E.L.G.)Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L19-0536. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoUse of Peripherally Inserted Central Catheters in Patients With Advanced Chronic Kidney Disease David Paje , Mary A.M. Rogers , Anna Conlon , Scott A. Flanders , Steven J. Bernstein , and Vineet Chopra Peripherally Inserted Central Catheters in Patients With Advanced Chronic Kidney Disease David Paje , Scott A. Flanders , Steven J. Bernstein , and Vineet Chopra Metrics 5 November 2019Volume 171, Issue 9Page: 683KeywordsAntibioticsChronic kidney diseaseCohort studiesConflicts of interestDisclosureEndocarditisFistulasForecastingOsteomyelitisPeripherally inserted central catheters ePublished: 5 November 2019 Issue Published: 5 November 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...