The authors of this study evaluated the outcome of the implementation of a protocol that restricts the placement of implanted central venous catheters to patients with an ANC greater or equal to 500. This was based on previous findings that suggested that placement of implantable central venous devices in neutropenic patients is associated with higher rate of complications.
The authors found a higher rate of complications (infectious and technical) in neutropenic patients. Additionally, the rate of these complications was substantially decreased after implementation of a protocol that excludes neutropenic from device placement.
Gollin G, Gutierrez I. Exclusion of neutropenic children form implanted central venous catheter placement: impact on early catheter removal. J Pediatr Surg 2010;45:1115-1119
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