Incidence and Risk Factors of Infectious Complications Related to Implantable Venous-Access Ports
The purpose of this study was to determine the incidence and risk factors of infections associated with implantable venous access ports (IVAPs). From August 2003 through November 2011, 1747 IVAPs were placed in our interventional radiology suite. One hundred forty four IVAPs were inserted in patient...
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Published in | Korean journal of radiology Vol. 15; no. 4; pp. 494 - 500 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Korea (South)
The Korean Society of Radiology
01.07.2014
대한영상의학회 |
Subjects | |
Online Access | Get full text |
ISSN | 1229-6929 2005-8330 2005-8330 |
DOI | 10.3348/kjr.2014.15.4.494 |
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Abstract | The purpose of this study was to determine the incidence and risk factors of infections associated with implantable venous access ports (IVAPs).
From August 2003 through November 2011, 1747 IVAPs were placed in our interventional radiology suite. One hundred forty four IVAPs were inserted in patients with hematologic malignancy and 1603 IVAPs in patients with solid tumors. Among them, 40 ports (23 women and 17 men; mean age, 57.1 years; range, 13-83) were removed to treat port-related infections. We evaluated the incidence of port-related infection, patient characteristics, bacteriologic data, and patient progress. Univariable analyses (t test, chi-square test, and Fisher's exact test) and multiple logistic regression analyses were used to determine the risk factors for IVAP related infection.
Overall, 40 (2.3%) of 1747 ports were removed for symptoms of infection with an incidence rate of 0.067 events/1000 catheter-days. According to the univariable study, the incidences of infection were seemingly higher in the patients who received the procedure during inpatient treatment (p = 0.016), the patients with hematologic malignancy (p = 0.041), and the patients receiving palliative chemotherapy (p = 0.022). From the multiple binary logistic regression, the adjusted odds ratios of infection in patients with hematologic malignancies and those receiving palliative chemotherapy were 7.769 (p = 0.001) and 4.863 (p = 0.003), respectively. Microorganisms were isolated from 26 (65%) blood samples, and two of the most causative organisms were found to be Staphylococcus (n = 10) and Candida species (n = 7).
The underlying hematologic malignancy and the state of receiving palliative chemotherapy were the independent risk factors of IVAP-related infection. |
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AbstractList | The purpose of this study was to determine the incidence and risk factors of infections associated with implantable venous access ports (IVAPs).OBJECTIVEThe purpose of this study was to determine the incidence and risk factors of infections associated with implantable venous access ports (IVAPs).From August 2003 through November 2011, 1747 IVAPs were placed in our interventional radiology suite. One hundred forty four IVAPs were inserted in patients with hematologic malignancy and 1603 IVAPs in patients with solid tumors. Among them, 40 ports (23 women and 17 men; mean age, 57.1 years; range, 13-83) were removed to treat port-related infections. We evaluated the incidence of port-related infection, patient characteristics, bacteriologic data, and patient progress. Univariable analyses (t test, chi-square test, and Fisher's exact test) and multiple logistic regression analyses were used to determine the risk factors for IVAP related infection.MATERIALS AND METHODSFrom August 2003 through November 2011, 1747 IVAPs were placed in our interventional radiology suite. One hundred forty four IVAPs were inserted in patients with hematologic malignancy and 1603 IVAPs in patients with solid tumors. Among them, 40 ports (23 women and 17 men; mean age, 57.1 years; range, 13-83) were removed to treat port-related infections. We evaluated the incidence of port-related infection, patient characteristics, bacteriologic data, and patient progress. Univariable analyses (t test, chi-square test, and Fisher's exact test) and multiple logistic regression analyses were used to determine the risk factors for IVAP related infection.Overall, 40 (2.3%) of 1747 ports were removed for symptoms of infection with an incidence rate of 0.067 events/1000 catheter-days. According to the univariable study, the incidences of infection were seemingly higher in the patients who received the procedure during inpatient treatment (p = 0.016), the patients with hematologic malignancy (p = 0.041), and the patients receiving palliative chemotherapy (p = 0.022). From the multiple binary logistic regression, the adjusted odds ratios of infection in patients with hematologic malignancies and those receiving palliative chemotherapy were 7.769 (p = 0.001) and 4.863 (p = 0.003), respectively. Microorganisms were isolated from 26 (65%) blood samples, and two of the most causative organisms were found to be Staphylococcus (n = 10) and Candida species (n = 7).RESULTSOverall, 40 (2.3%) of 1747 ports were removed for symptoms of infection with an incidence rate of 0.067 events/1000 catheter-days. According to the univariable study, the incidences of infection were seemingly higher in the patients who received the procedure during inpatient treatment (p = 0.016), the patients with hematologic malignancy (p = 0.041), and the patients receiving palliative chemotherapy (p = 0.022). From the multiple binary logistic regression, the adjusted odds ratios of infection in patients with hematologic malignancies and those receiving palliative chemotherapy were 7.769 (p = 0.001) and 4.863 (p = 0.003), respectively. Microorganisms were isolated from 26 (65%) blood samples, and two of the most causative organisms were found to be Staphylococcus (n = 10) and Candida species (n = 7).The underlying hematologic malignancy and the state of receiving palliative chemotherapy were the independent risk factors of IVAP-related infection.CONCLUSIONThe underlying hematologic malignancy and the state of receiving palliative chemotherapy were the independent risk factors of IVAP-related infection. The purpose of this study was to determine the incidence and risk factors of infections associated with implantable venous access ports (IVAPs). From August 2003 through November 2011, 1747 IVAPs were placed in our interventional radiology suite. One hundred forty four IVAPs were inserted in patients with hematologic malignancy and 1603 IVAPs in patients with solid tumors. Among them, 40 ports (23 women and 17 men; mean age, 57.1 years; range, 13-83) were removed to treat port-related infections. We evaluated the incidence of port-related infection, patient characteristics, bacteriologic data, and patient progress. Univariable analyses (t test, chi-square test, and Fisher's exact test) and multiple logistic regression analyses were used to determine the risk factors for IVAP related infection. Overall, 40 (2.3%) of 1747 ports were removed for symptoms of infection with an incidence rate of 0.067 events/1000 catheter-days. According to the univariable study, the incidences of infection were seemingly higher in the patients who received the procedure during inpatient treatment (p = 0.016), the patients with hematologic malignancy (p = 0.041), and the patients receiving palliative chemotherapy (p = 0.022). From the multiple binary logistic regression, the adjusted odds ratios of infection in patients with hematologic malignancies and those receiving palliative chemotherapy were 7.769 (p = 0.001) and 4.863 (p = 0.003), respectively. Microorganisms were isolated from 26 (65%) blood samples, and two of the most causative organisms were found to be Staphylococcus (n = 10) and Candida species (n = 7). The underlying hematologic malignancy and the state of receiving palliative chemotherapy were the independent risk factors of IVAP-related infection. Objective The purpose of this study was to determine the incidence and risk factors of infections associated with implantable venous access ports (IVAPs). Materials and Methods From August 2003 through November 2011, 1747 IVAPs were placed in our interventional radiology suite. One hundred forty four IVAPs were inserted in patients with hematologic malignancy and 1603 IVAPs in patients with solid tumors. Among them, 40 ports (23 women and 17 men; mean age, 57.1 years; range, 13-83) were removed to treat port-related infections. We evaluated the incidence of port-related infection, patient characteristics, bacteriologic data, and patient progress. Univariable analyses (t test, chi-square test, and Fisher's exact test) and multiple logistic regression analyses were used to determine the risk factors for IVAP related infection. Results Overall, 40 (2.3%) of 1747 ports were removed for symptoms of infection with an incidence rate of 0.067 events/1000 catheter-days. According to the univariable study, the incidences of infection were seemingly higher in the patients who received the procedure during inpatient treatment (p = 0.016), the patients with hematologic malignancy (p = 0.041), and the patients receiving palliative chemotherapy (p = 0.022). From the multiple binary logistic regression, the adjusted odds ratios of infection in patients with hematologic malignancies and those receiving palliative chemotherapy were 7.769 (p = 0.001) and 4.863 (p = 0.003), respectively. Microorganisms were isolated from 26 (65%) blood samples, and two of the most causative organisms were found to be Staphylococcus (n = 10) and Candida species (n = 7). Conclusion The underlying hematologic malignancy and the state of receiving palliative chemotherapy were the independent risk factors of IVAP-related infection. Objective: The purpose of this study was to determine the incidence and risk factors of infections associated with implantable venous access ports (IVAPs). Materials and Methods: From August 2003 through November 2011, 1747 IVAPs were placed in our interventional radiology suite. One hundred forty four IVAPs were inserted in patients with hematologic malignancy and 1603 IVAPs in patients with solid tumors. Among them, 40 ports (23 women and 17 men; mean age, 57.1 years; range, 13–83) were removed to treat port-related infections. We evaluated the incidence of port-related infection, patient characteristics, bacteriologic data, and patient progress. Univariable analyses (t test, chi-square test, and Fisher’s exact test) and multiple logistic regression analyses were used to determine the risk factors for IVAP related infection. Results: Overall, 40 (2.3%) of 1747 ports were removed for symptoms of infection with an incidence rate of 0.067 events/1000 catheter-days. According to the univariable study, the incidences of infection were seemingly higher in the patients who received the procedure during inpatient treatment (p = 0.016), the patients with hematologic malignancy (p = 0.041), and the patients receiving palliative chemotherapy (p = 0.022). From the multiple binary logistic regression, the adjusted odds ratios of infection in patients with hematologic malignancies and those receiving palliative chemotherapy were 7.769 (p = 0.001) and 4.863 (p = 0.003), respectively. Microorganisms were isolated from 26 (65%) blood samples, and two of the most causative organisms were found to be Staphylococcus (n = 10) and Candida species (n = 7). Conclusion: The underlying hematologic malignancy and the state of receiving palliative chemotherapy were the independent risk factors of IVAP-related infection. KCI Citation Count: 10 |
Author | Song, Myung Gyu Kim, Jun Suk Choi, Chul Won Cha, In-Ho Seo, Tae-Seok Shim, Jisue Seo, Jae Hong Oh, Sang Cheul |
AuthorAffiliation | 1 Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea 2 Department of Oncology and Hematology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea |
AuthorAffiliation_xml | – name: 2 Department of Oncology and Hematology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea – name: 1 Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea |
Author_xml | – sequence: 1 givenname: Jisue surname: Shim fullname: Shim, Jisue organization: Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea – sequence: 2 givenname: Tae-Seok surname: Seo fullname: Seo, Tae-Seok organization: Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea – sequence: 3 givenname: Myung Gyu surname: Song fullname: Song, Myung Gyu organization: Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea – sequence: 4 givenname: In-Ho surname: Cha fullname: Cha, In-Ho organization: Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea – sequence: 5 givenname: Jun Suk surname: Kim fullname: Kim, Jun Suk organization: Department of Oncology and Hematology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea – sequence: 6 givenname: Chul Won surname: Choi fullname: Choi, Chul Won organization: Department of Oncology and Hematology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea – sequence: 7 givenname: Jae Hong surname: Seo fullname: Seo, Jae Hong organization: Department of Oncology and Hematology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea – sequence: 8 givenname: Sang Cheul surname: Oh fullname: Oh, Sang Cheul organization: Department of Oncology and Hematology, Korea University Guro Hospital, Korea University College of Medicine, Seoul 152-703, Korea |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25053910$$D View this record in MEDLINE/PubMed https://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001899741$$DAccess content in National Research Foundation of Korea (NRF) |
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Keywords | Infection Cancer patient Complication Subcutaneous port Intravenous access |
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From August... Objective The purpose of this study was to determine the incidence and risk factors of infections associated with implantable venous access ports (IVAPs).... The purpose of this study was to determine the incidence and risk factors of infections associated with implantable venous access ports (IVAPs).OBJECTIVEThe... Objective: The purpose of this study was to determine the incidence and risk factors of infections associated with implantable venous access ports (IVAPs).... |
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SubjectTerms | Adolescent Adult Aged Aged, 80 and over Analysis of Variance Antibiotics Catheter-Related Infections - epidemiology Catheter-Related Infections - microbiology Catheters Catheters, Indwelling - adverse effects Chemotherapy Female Hematologic Neoplasms - drug therapy Humans Incidence Intervention Local anesthesia Male Medical records Middle Aged Neoplasms - drug therapy Nosocomial infections Palliative Care - statistics & numerical data Patients Phlebotomy Retrospective Studies Risk Factors Thrombosis Vascular Access Devices - adverse effects Veins & arteries Venous access Young Adult 방사선과학 |
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Title | Incidence and Risk Factors of Infectious Complications Related to Implantable Venous-Access Ports |
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