Document Detail


Port-A-Cath in children during long-term chemotherapy: complications and outcome.
MedLine Citation:
PMID:  2641695     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Complications related to Port-A-Cath were studied prospectively during a period of 32 months in 31 patients, aged 1-18 years, with leukemias and solid tumors. There were 34 Port-A-Cath inserted, and the cumulative time for these catheters kept in place was 5899 days. No complications occurred in 18 patients (19 catheters) kept in place for a cumulative time of 3998 days with an average duration of 210 days (12-550 days). In 13 patients (15 catheters) there were 14 events of systemic infections; seven events were treated successfully with antibiotics, four events necessitated the extraction of the catheter (in one patient a combination of systemic and local infection), and in three events the catheters were kept unused, as the patients were in terminal stages. Nonsystemic complications occurred with five catheters; two local infections, two obstructions (catheters removed), and one local bleeding (catheter kept unused). Appropriate antimicrobial treatment of systemic infections enables the immunocompromised child to keep the Port-A-Cath in place for a long time.
Authors:
M al-Hathal; G Malmfors; S Garwicz; A N Békássy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric hematology and oncology     Volume:  6     ISSN:  0888-0018     ISO Abbreviation:  Pediatr Hematol Oncol     Publication Date:  1989  
Date Detail:
Created Date:  1990-10-10     Completed Date:  1990-10-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8700164     Medline TA:  Pediatr Hematol Oncol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  17-22     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University Hospital, Lund, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Antineoplastic Agents / administration & dosage*
Catheterization, Central Venous / adverse effects*
Child
Child, Preschool
Cloxacillin / therapeutic use
Hematoma / etiology
Humans
Infant
Neoplasms / drug therapy*
Sepsis / etiology,  prevention & control
Chemical
Reg. No./Substance:
0/Antineoplastic Agents; 61-72-3/Cloxacillin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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