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CRBSI – SBS — RACP Paediatrics MCQ

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ModerateGICRBSI – SBSRACP Paediatrics

The same child on TPN has recurrent episodes of fever with positive blood cultures (coagulase-negative staphylococci) from the central venous catheter. What is the most common serious complication of long-term central venous access in SBS?

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Correct answer: C — Catheter-related bloodstream infection

Catheter-related bloodstream infection (CRBSI) is the most common serious complication of long-term TPN. It is the leading cause of line removal, loss of venous access, and hospital admission in SBS. Prevention includes strict line care protocols, ethanol locks, and antibiotic locks. Taurolidine locks are emerging as effective prophylaxis.

Reference: RCH Melbourne – 2023 – SBS CPG; RACP Paediatric Curriculum – GI