[DJR-126 1.0 CE] Clinical Predictors of Port Infections in Adult Patients with Hematologic Malignancies

Lesson
Materials


ABSTRACT
Purpose: To identify clinical predictors of port infections in adult patients with hematologic malignancies.

Materials and Methods: A retrospective chart review identified 223 adult patients (age ! 18 y) with hematologic malignancies, including lymphoma (n 1⁄4 163), leukemia (n 1⁄4 49), and others (n 1⁄4 11), who had a port placed from 2012 to 2015. Early (< 30 d after port placement) and overall port infections (bloodstream and site infections) were recorded. To elucidate clinical predictors for early and overall port infections, proportional subdistribution hazard regression (PSHREG) analyses were conducted with variables including patients’ demographics, medications used, laboratory data, and port characteristics.

Results: Total duration of follow-up was 83,722 catheter-days (median per patient, 274 catheter-days). Early and overall port infections were identified in 8 (3.6%) and 26 (11.7%) patients, respectively. Early and overall infection rates were 1.2 and 0.3 infections/1,000 catheter-days, respectively.

ARRT CREDIT DISTRIBUTION

DISCIPLINEMAJOR CONTENT CATEGORY & SUBCATEGORIESCE CREDITS PROVIDED
RA – 2017Patient Care
Patient Interactions and Management0.50
RA – 2018Patient Care
Patient Management0.50
VI – 2016Patient Care
Patient Interactions and Management0.50
VI – 2017Patient Care
Patient Interactions and Management0.50
RA – 2017Procedures
Neurological, Vascular, and Lymphatic Sections0.50
RA – 2018Procedures
Neurological, Vascular, and Lymphatic Sections0.50
VI – 2016Procedures
Peripheral Angiography and Intervention, Dialysis Management, and Venous Access0.50
VI – 2017Procedures
Vascular Interventional Procedures0.50

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