title: Delay before implanting a port-a-cath after removing the previous one because of infection.
abstract: OBJECTIVE
  We had for objective to assess the risk of a new Port-a-Cath (PAC) infection after re-implantation when the first one had been removed because of infection in the previous month.
  
  
  METHODS
  We conducted a retrospective bicentric study including all patients having undergone PAC removal because of infection, followed by re-implantation of a new one in the next month, between 2004 and 2012.
  
  
  RESULTS
  One hundred and forty-nine PAC removals were followed by re-implantation in the next month. The cause of removal was infection for 63 patients: 34 presented with bacteremia (13 PAC removals and simultaneous re-implantation, and 21 with delayed re-implantation for a mean 14days) and 29 presented with local signs of infection (20 PAC removals and simultaneous re-implantation, and with delayed re-implantation for a mean 13days). Two out of 13 PACs were re-infected in the bacteremia group, (15.4%) when the removal and re-implantation were performed simultaneously, and 1 out of 21 (4.8%) when re-implantation of the second PAC was delayed. The 3 re-infected PACs were successfully treated with antibiotics.
  
  
  CONCLUSIONS
  The early re-implantation of a PAC after removal of the previous one because of infection is a relatively safe procedure. The risk of infection can be higher when PAC removal and re-implantation are performed simultaneously in patients presenting with bacteremia; nevertheless, all reinfections were successfully treated with antibiotics.
authors.affiliation: Service de chirurgie viscérale et transplantation, CHU Jean-Minjoz, 25030 Besançon, France. Electronic address: gael.simone@yahoo.fr.
authors.forename: G
authors.initials: G
authors.lastname: Simoné
authors.affiliation: Service de maladies infectieuses, CHU du Bocage, 21000 Dijon, France. Electronic address: lionel.piroth@chu-dijon.fr.
authors.forename: L
authors.initials: L
authors.lastname: Piroth
authors.affiliation: Service de chirurgie viscérale et transplantation, CHU Jean-Minjoz, 25030 Besançon, France. Electronic address: zaher.lakkis@univ-fcomte.fr.
authors.forename: Z
authors.initials: Z
authors.lastname: Lakkis
authors.affiliation: Service de chirurgie digestive, CHU du Bocage, 21000 Dijon, France. Electronic address: patrick.rat@chu-dijon.fr.
authors.forename: P
authors.initials: P
authors.lastname: Rat
authors.affiliation: Service de chirurgie viscérale et transplantation, CHU Jean-Minjoz, 25030 Besançon, France. Electronic address: bruno.heyd@univ-fcomte.fr.
authors.forename: B
authors.initials: B
authors.lastname: Heyd
authors.affiliation: Service de chirurgie digestive, CHU du Bocage, 21000 Dijon, France. Electronic address: pablo.ortega-deballon@chu-dijon.fr.
authors.forename: P
authors.initials: P
authors.lastname: Ortega-Deballon
mesh_terms: D000038:Abscess / Q000209:etiology; D016470:Bacteremia / Q000453:epidemiology / Q000209:etiology* / Q000382:microbiology / Q000517:prevention & control; D055499:Catheter-Related Infections / Q000453:epidemiology / Q000209:etiology* / Q000382:microbiology / Q000517:prevention & control / Q000628:therapy; D002405:Catheterization, Central Venous / Q000379:methods*; D003428:Cross Infection / Q000453:epidemiology / Q000209:etiology* / Q000382:microbiology / Q000517:prevention & control; D020878:Device Removal; D005334:Fever / Q000209:etiology; D005602:France / Q000453:epidemiology; D006748:Hospital Departments; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006801:Humans; D012008:Recurrence; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D013997:Time Factors; D062666:Vascular Access Devices / Q000009:adverse effects
keywords: Catheters; Cathéters; Chambre implantable; Implantable venous access device; Infection