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Removal of totally implanted venous access ports for suspected infection in the intensive care unit: a multicenter observational study.


ABSTRACT: BACKGROUND:While no data support this practice, international guidelines recommend the removal of totally implanted venous access ports (TIVAPs) in patients with suspicion of TIVAP-related bloodstream infection admitted in the intensive care unit (ICU) for a life-threatening sepsis. METHODS:During this multicenter, retrospective and observational study, we included all patients admitted in five ICU for a life-threatening sepsis in whom a TIVAP was removed between January 2012 and December 2014. We aimed (1) at determining the proportion of confirmed TIVAP-related infections and (2) at assessing short- and long-term survival of patients with and without TIVAP-related infections. RESULTS:One hundred and fifty-one patients (58?±?14 years, 62% males) were included between 2012 and 2014. TIVAP-related infections were confirmed in 68 patients (45%). Demographic characteristics were similar between patients with and without TIVAP-related infections. SOFA score on admission per point increase [odd ratio (OR), 0.86 interval confidence (IC) 95% (0.8-0.9), p?

SUBMITTER: Lecronier M 

PROVIDER: S-EPMC5874227 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature

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Removal of totally implanted venous access ports for suspected infection in the intensive care unit: a multicenter observational study.

Lecronier Marie M   Valade Sandrine S   Bigé Naike N   de Prost Nicolas N   Roux Damien D   Lebeaux David D   Maury Eric E   Azoulay Elie E   Demoule Alexandre A   Dres Martin M  

Annals of intensive care 20180327 1


<h4>Background</h4>While no data support this practice, international guidelines recommend the removal of totally implanted venous access ports (TIVAPs) in patients with suspicion of TIVAP-related bloodstream infection admitted in the intensive care unit (ICU) for a life-threatening sepsis.<h4>Methods</h4>During this multicenter, retrospective and observational study, we included all patients admitted in five ICU for a life-threatening sepsis in whom a TIVAP was removed between January 2012 and  ...[more]

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