Comparison of catheter-related infection risk in two different long-term venous devices in adult hematology-oncology patients

Infection is the leading complication of long-term central venous catheters, and its incidence may vary according to catheter type. The objective of this study was to compare the frequency and probability of infection between two types of long-term intravenous devices. Retrospective study in 96 onco...

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Bibliographic Details
Published in:Revista do Hospital das Clinicás 2004, Vol.59 (5), p.291-295
Main Authors: Pracchia, Luís Fernando, Dias, Lúcia Cristina Santos, Dorlhiac-Llacer, Pedro Enrique, Chamone, Dalton de Alencar Fisher
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Ambulatory Care
Bacteremia - etiology
Brazil - epidemiology
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - instrumentation
Catheterization, Peripheral - adverse effects
Catheterization, Peripheral - instrumentation
Epidemiologic Methods
Female
Humans
Lymphoma - drug therapy
Lymphoma - mortality
Male
MEDICINE, GENERAL & INTERNAL
Middle Aged
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Summary:Infection is the leading complication of long-term central venous catheters, and its incidence may vary according to catheter type. The objective of this study was to compare the frequency and probability of infection between two types of long-term intravenous devices. Retrospective study in 96 onco-hematology patients with partially implanted catheters (n = 55) or completely implanted ones (n = 42). Demographic data and catheter care were similar in both groups. Infection incidence and infection-free survival were used for the comparison of the two devices. In a median follow-up time of 210 days, the catheter-related infection incidence was 0.2102/100 catheter-days for the partially implanted devices and 0.0045/100 catheter-days for the completely implanted devices; the infection incidence rate was 46.7 (CI 95% = 6.2 to 348.8). The 1-year first infection-free survival ratio was 45% versus 97%, and the 1-year removal due to infection-free survival ratio was 42% versus 97% for partially and totally implanted catheters, respectively (P
ISSN:0041-8781
1678-9903
0041-8781
DOI:10.1590/s0041-87812004000500012