Accessing Totally Implantable Venous Access Systems on the day of Placement does not Significantly Increase the Risk of Infection

Purpose Totally implantable venous access systems (ports) are commonly placed and have a low complication rate. The most common complication is infection, which can have very negative effects on patients resulting in hospitalization and/or treatment delay in the setting of neoplasm. While a number o...

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Bibliographic Details
Published in:The journal of vascular access 2016-05, Vol.17 (3), p.261-264
Main Authors: Young, Shamar J., Young, Linda J., Vogel, Jeffery, Sutkowski, Raymond, Venkataperumal, Satish
Format: Article
Language:English
Subjects:
Administration, Intravenous
Adolescent
Adult
Aged
Aged, 80 and over
Antineoplastic Agents - administration & dosage
Catheter-Related Infections - diagnosis
Catheter-Related Infections - microbiology
Catheterization, Peripheral - adverse effects
Catheterization, Peripheral - instrumentation
Child
Child, Preschool
Electronic Health Records
Female
Florida
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Neoplasms - drug therapy
Retrospective Studies
Risk Factors
Time Factors
Treatment Outcome
Vascular Access Devices
Young Adult
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Summary:Purpose Totally implantable venous access systems (ports) are commonly placed and have a low complication rate. The most common complication is infection, which can have very negative effects on patients resulting in hospitalization and/or treatment delay in the setting of neoplasm. While a number of variables have been studied in relation to diminishing infectious rates, one remaining question is the effect of accessing the port on day of placement, which is the aim of this retrospective study. Materials and methods After internal review board approval the electronic medical records of 2,006 patients who underwent port placement between 10/1/2008 and 9/30/2013 were reviewed. Of these patients 628 were excluded as they did not have complete placement and removal data available, leaving 1378 patients in our cohort. Results There was a significantly longer number of infection-free catheter days in the out-patient cohort as compared to the in-patient cohort (p = 0.027). In-patients mean day after placement when the port was first accessed (DAP) (0.5) was statistically earlier (closer to placement) than the out-patients DAP (7.2) (p
ISSN:1129-7298
1724-6032
DOI:10.5301/jva.5000505