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Totally implantable venous access device placement by interventional radiologists: are prophylactic antibiotics necessary?
- Source :
- Journal of vascular and interventional radiology : JVIR. 23(3)
- Publication Year :
- 2011
-
Abstract
- To determine the rate of early infection for totally implantable venous access devices (TIVADs) placed without antibiotic prophylaxis.A list of patients who underwent TIVAD placement in 2009 was obtained from the patient archiving and communication system (PACS). This list was cross-referenced to all patients who underwent TIVAD removal from January 1, 2009, through January 30, 2010, to identify TIVADs that were removed within 30 days of placement. Retrospective chart review was performed to record patient demographics, including age, sex, cancer diagnosis, and indication for removal. Concurrent antibiotic therapy, chemotherapy, and laboratory data before and within 30 days of placement were recorded. Central line-associated bloodstream infections (CLABSIs) were identified using U.S. Centers for Disease Control and Prevention (CDC) criteria.There were 1,183 ports placed and 13 removed. CLABSIs occurred in seven (0.6%) patients within 30 days of placement. At the time of TIVAD placement, 81 (7%) patients were receiving antibiotics incidental to the procedure. One patient who received an antibiotic the day of implantation developed a CLABSI. Chemotherapy was administered to 148 (13%) patients on the day of placement.The rate of early infection without antibiotic prophylaxis before TIVAD placement in the interventional radiology suite is1%. Based on these data, use of prophylactic antibiotics for TIVAD placement is not recommended.
- Subjects :
- Adult
Male
medicine.medical_specialty
Catheterization, Central Venous
Time Factors
Adolescent
medicine.drug_class
Patient demographics
Device placement
Antibiotics
Radiography, Interventional
Risk Assessment
Article
Young Adult
Catheters, Indwelling
Risk Factors
Chart review
Medicine
Humans
Radiology, Nuclear Medicine and imaging
Antibiotic prophylaxis
Device Removal
Aged
Retrospective Studies
Aged, 80 and over
medicine.diagnostic_test
business.industry
Retrospective cohort study
Interventional radiology
Equipment Design
Antibiotic Prophylaxis
Middle Aged
Venous access
Surgery
Treatment Outcome
Catheter-Related Infections
Practice Guidelines as Topic
Female
Guideline Adherence
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15357732
- Volume :
- 23
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of vascular and interventional radiology : JVIR
- Accession number :
- edsair.doi.dedup.....9a8a7a452d8f517d3fb48da86effa83d