Document Detail


Prevalence of infection following hepatic chemoembolization with cross-linked collagen with administration of prophylactic antibiotics.
MedLine Citation:
PMID:  8186609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The authors present their experience with 494 hepatic chemoembolization (HCE) procedures in 236 patients with administration of a mixture of cross-linked collagen and chemotherapeutic agents. The prevalence of infectious complications was compared in patients who did and did not receive prophylactic administration of antibiotics as part of the HCE procedure. PATIENTS AND METHODS: Fourteen HCE procedures in nine patients were performed without prophylactic antibiotics (PA). These patients underwent embolization with cross-linked collagen alone or with low-dose cisplatinum. All of the remaining 480 procedures in 227 patients were performed with PA. RESULTS: One of the nine patients (11%) who did not receive PA experienced fatal sepsis within 24 hours of HCE. Of the 227 patients who did receive antibiotics, six (2.6%) developed hepatic abscess and no fatal sepsis was encountered. CONCLUSION: Use of PA decreases the prevalence of infectious complications following HCE.
Authors:
R A Reed; G P Teitelbaum; J R Daniels; M J Pentecost; M D Katz
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  5     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:    1994 Mar-Apr
Date Detail:
Created Date:  1994-06-23     Completed Date:  1994-06-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  367-71     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Southern California School of Medicine, Los Angeles.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Anti-Bacterial Agents / therapeutic use*
Antineoplastic Agents / administration & dosage*
Chemoembolization, Therapeutic / adverse effects*
Collagen / administration & dosage*
Female
Humans
Liver Abscess / epidemiology*,  microbiology,  prevention & control
Liver Neoplasms / therapy
Male
Middle Aged
Premedication
Prevalence
Retrospective Studies
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Antineoplastic Agents; 121938-23-6/Angiostat; 9007-34-5/Collagen
Comments/Corrections
Comment In:
J Vasc Interv Radiol. 1995 Jul-Aug;6(4):658-9   [PMID:  7579882 ]

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


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