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Vol.33 No.3 contents | Japanese/English |
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Full Text of PDF (448K) Article in Japanese |
Study on Management of Totally Implantable Central Venous Access Port to Prevent Blood Stream Infection
Chizuko SUMIDA1), Hisako YANO2), Saori YASUOKA3) and Shigemi ONOUE1)
1)Inazawa Municipal Hospital, 2)Nagoya City University School of Nursing, 3)Toho University Faculty of Nursing
Totally implantable central venous access ports (CV ports) are increasingly being used in cancer chemotherapy these days as they can be managed in the outpatient and home care settings. The objective of this study was to clarify the actual condition problems of complications and management of CV ports in order to prevent blood stream infections in patients with implanted CV ports.
Fifty-two patients participated in this study. Four patients experienced CV port complications, and all of their CV ports were removed. The breakdown of the complications was one each of central line associated bloodstream infection (CLABSI), subcutaneous pocket infection, skin defect (exposure of CV port), and catheter occlusion. There were 0.50 cases each of CLABSI and subcutaneous pocket infection per 1000 catheters. When the presence and absence of infections were compared, there was a statistically significant difference with both the leakage of therapeutic agents from the insertion site and skin-related problems. As for the usage rate due to the presence or absence of leakage of therapeutic agents and skin-related problems, there was a statistically significant difference between experiencing leakage of therapeutic agents and skin-related problems and all others. Experiencing leakage of therapeutic agents and skin-related problems included CLABSI and subcutaneous pocket infection, suggesting that leakage of therapeutic agents and skin-related problems have an association with CV-port-related blood stream infections. Prevention of leakage of therapeutic agents and skin management are essential for preventing CV-port-related blood stream infections. Medical professionals urgently need to address prevention of leakage of therapeutic agents by integrating accurate information about CV ports and incorporating training in on-site education programs.
Key words：totally implantable central venous access ports, CLABSI, education, training
e-mail: chizuko-s＠r8.ucom.ne.jp
Received: September 15, 2017
Accepted: February 27, 2018
33 (3)：103─110,2018
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