Risk Factors of Infection and Role of Antibiotic Prophylaxis in Totally Implantable Venous Access Port Placement: Propensity Score Matching

Nezami, Nariman; Xing, Minzhi; Groenwald, M.; Silin, Douglas; Kokabi, Nima; Latich, Igor

doi:10.1007/s00270-019-02255-0

Cited by 12 publications

(2 citation statements)

References 21 publications

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“…Recently, a propensity score matching study of 5967 patients also suggests that there is no relation between hematological malignancy and increased risk of TIVAP infection. 20 So far, most studies have found that prophylactic antibiotics will not decrease rate of postoperative infectious complications. In our study, only a small number of people received prophylactic antibiotics.…”

Section: Discussionmentioning

confidence: 99%

Risk factors of infection of totally implantable venous access port: A retrospective study

et al. 2022

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Background: Infection is the most frequent complication associated with the use of totally implantable venous access port (TIVAP). This retrospective study was conducted to determine the risk factors affecting TIVAP-related infection. Methods: A total of 1406 patients implanted with TIVAP at our center were included in this retrospective study. Incidence of perioperative infection, patient characteristics and bacteriologic data were retrieved and analyzed. Univariable analyses and multiple logistic regression analyses were used to determine the risk factors. Results: Overall, 72 (5.1%) patients had perioperative infection, and TIVAP was finally removed from 12 (0.85%) patients. There was significantly more hematologic malignancy in the infection group, compared to the non-infection group. Patients with chemotherapy and infection within 30 days before operation also had more infections. There were more inpatients in the infection group than in the non-infection group. The rate of hematoma was higher in the infected patients. Multivariate logistic analysis revealed that hematoma (OR 5.695, p < 0.001), preoperative hospital stay (⩾14d) (OR 2.945, p < 0.001), history of chemotherapy (OR 2.628, p = 0.002), history of infection (within 30 days) (OR 4.325, p < 0.001) were independent risk factor for infection. Conclusions: This study demonstrated that hematoma, preoperative hospital stay (⩾14d), history of chemotherapy and history of infection (within 30 days) are independent risk factor for all patients.

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Section: Discussionmentioning

confidence: 99%

Risk factors of infection of totally implantable venous access port: A retrospective study

et al. 2022

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“…There are single-chamber and double-chamber portals[ 7 ], with various sizes. Single-chamber ports are used more often clinically[ 8 ]. Ports with the smallest number of chamber(s) that can meet the needs of the patient should be selected to reduce the risk of infection[ 9 ].…”

Section: Clinical Questionsmentioning

confidence: 99%

Chinese expert consensus and practice guideline of totally implantable access port for digestive tract carcinomas

Zhang

Chen

2020

WJG

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Totally implantable access port is a fully implantable drug delivery system that is implanted subcutaneously and can be retained for a long time. Advantages of ports include a simple nursing process, low risk of infection and embolism, and high patient comfort. In order to promote the standardized application of ports in the treatment of digestive tract tumors and reduce port-related complications, the Chinese Research Hospital Association Digestive Tumor Committee, the Chinese Association of Upper Gastrointestinal Surgeons, the Chinese Gastric Cancer Association, and the Gastrointestinal Surgical Group of Chinese Surgical Society Affiliated to Chinese Medical Association have organized multidisciplinary expert discussions at the General Hospital of the People’s Liberation Army and nation-wide expert letter reviews and on-site seminars, and formulated an expert consensus of the operation guidelines.

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Evidenz der Portimplantation

Grundmann

2024

Port-Operationen

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Risk Factors of Infection and Role of Antibiotic Prophylaxis in Totally Implantable Venous Access Port Placement: Propensity Score Matching

Cited by 12 publications

References 21 publications

Risk factors of infection of totally implantable venous access port: A retrospective study

Risk factors of infection of totally implantable venous access port: A retrospective study

Chinese expert consensus and practice guideline of totally implantable access port for digestive tract carcinomas

Evidenz der Portimplantation

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