[Post-mortem evaluation following oncologic treatment of the functional and bacteriologic status of 25 permanent venous access devices].
Permanent venous access devices allow long-term parenteral treatment under relatively safe and comfortable conditions. Nevertheless, this use is associated with some degree of (particularly infectious) morbidity. 25 permanent access devices were removed surgically in immediate autopsies and cultured. Some half were infected, with a clear prevalence (40%) for Staphylococcus coagulase negative. The results were related to clinical history and compared with the figures and conclusions of other studies. It is proposed that in certain situations cultures of native blood should be carried out more frequently through the permanent venous access, with a view to possible specific targeted antibiotic therapy associated with the heparinized lock.
Groebli
Y
Y
Service de Chirurgie, Hôpital des Cadolles, Neuchâtel.
Bartolomei
J
J
Wüthrich
P
P
Callewaert
G
G
Tschantz
P
P
Piguet
D
D
D000328:Adult; D000368:Aged; D016470:Bacteremia / Q000473:pathology / Q000635:transmission*; D001431:Bacteriological Techniques; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D002408:Catheters, Indwelling; D003428:Cross Infection / Q000473:pathology / Q000635:transmission*; D004866:Equipment Contamination; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy* / Q000473:pathology; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000473:pathology / Q000635:transmission*
Evaluation post-mortem après traitement oncologique de l'état fonctionnel et bactériologique de 25 accès veineux permanents.