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African Journal of Paediatric Surgery
Article . 2014 . Peer-reviewed
Data sources: Crossref
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African Journal of Paediatric Surgery
Article
License: CC BY NC SA
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Complications of total implantable access ports and efficacy of Taurolidine-citrate lock solution against catheter-related infections

Authors: Emine Ince; Pelin Oğuzkurt; Abdulkerim Temiz; Semire Serin Ezer; Hasan Özkan Gezer; Nalan Yazici; Akgün Hiçsönmez;

Complications of total implantable access ports and efficacy of Taurolidine-citrate lock solution against catheter-related infections

Abstract

Totally, implantable access ports (TIAPs) are used for long standing venous catheterization. This study was designed to present our experiences of the TIAPs applications and efficacy of Taurolidine-citrate lock solution (TCLS) against catheter-related infections.We evaluated records of the 108 patients implanted with 112 TIAPs, which had been performed using heparin solution or TCLS between 2005 and 2013.Duration of exposure to TIAPs was 17-2051 days (median: 411 days). The primary diagnoses were solid tumours (n = 57), lymphoma (n = 23), haematologic diseases (n = 23), nephrotic syndrome (n = 4), Hirschsprung disease (n = 1). The right external jugular vein was most frequently used vascular access route (72.3%). Mechanical complications were observed in four cases. TIAPs were removed due to remission in 19 cases and infection in 19 cases. Median time from implantation and to the development of infection was 60 days. Heparin solution had been used for care in 33 ports, whereas heparin and TCLS had been used in 79 ports. Based on statistical comparison, use of TCLS was considered to be an important factor for preventing infection (P = 0.03).We consider that TCLS reduces infection prevalence so TIAPs would be used more extensively and effectively to prevent infections.

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Keywords

Male, Catheterization, Central Venous, RD1-811, Adolescent, Turkey, Catheter, infection, malignancy, port, Taurolidine-citrate, Taurine, port, Taurolidine-citrate, Pediatrics, Risk Assessment, RJ1-570, Cohort Studies, Catheters, Indwelling, Humans, Child, Device Removal, Retrospective Studies, Catheter, Thiadiazines, Incidence, Infant, infection, Treatment Outcome, Catheter-Related Infections, Child, Preschool, Surgery, Female, malignancy, Follow-Up Studies

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
11
Top 10%
Average
Average
gold