[Infectious complications of implantable catheters in HIV infected patients. Retrospective study of 46 patients].
OBJECTIVE
Investigate the rate of infection in HIV positive patients with an implantable venous access device.


METHODS
Forty-six totally implantable venous access devices (port-a-cath, PAC) were inserted in 46 HIV infected patients between January 1990 and May 1992. We analyzed the rate of infectious complications and tried to find predictive factors.


RESULTS
There were five infectious complications in five patients. The total complication rate was 0.06 per 100 catheter days. Staphylococcus aureus was responsible in two cases, Staphylococcus epidermidis was responsible in one case and Acinetobacter in one case. No predictive factor was recognized.


CONCLUSIONS
The rate of PAC infection was lower than in other published studies concerning HIV-infected patients. Totally implantable central venous access devices play an increasingly important role in the clinical management of HIV-related diseases. We have shown that the PAC device is safe and convenient in HIV-infected patients.
Gisselbrecht
M
M
Service de Maladies infectieuses, Hôpital de l'Institut Pasteur, Paris.
Eliaszewicz
M
M
Pialoux
G
G
Janssen
B
B
Fleury
J
J
Gonzalez
G
G
Feuillie
V
V
Dupont
B
B
D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000188:drug therapy*; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D000998:Antiviral Agents / Q000627:therapeutic use; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003586:Cytomegalovirus Infections / Q000150:complications / Q000188:drug therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition / Q000009:adverse effects; D016459:Prosthesis-Related Infections / Q000209:etiology*; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000209:etiology*
D000998:Antiviral Agents
Complications infectieuses des cathéters à chambre implantable chez des malades infectés par le VIH. Etude rétrospective de 46 patients.