The Use of the Water-Flushing Technique in the Maintenance of Totally Implanted Catheters and in the Reduction of Infections
DOI:
https://doi.org/10.3823/2076Abstract
Backgroud: Port-a-Cath catheters have been widely used in the clinical systemic therapy of cancer owing to the level of safety and effectiveness provided to patients during the treatment. The current study aimed to evaluate the decrease in risk of infection and the permeability condition of totally implanted catheters by using distilled water in the maintenance of Port-a-Caths. Methods and findings: Over the period between November 2008 and October 2014, a total of 109 patients with Port-a-Cath were attended to at the Ambulatory Chemotherapy Treatment Center from the Santa Marcelina Hospital in São Paulo, Brazil. The focus was on patients who had the totally implanted catheters, encompassing not only the treatment itself but also the maintenance of the devices. From the total sample, only 5 patients (4.6%) had catheter infection. Statistical analysis was performed using STATA 11.0. Conclusion: The conclusion was that the use of distilled water in the maintenance of a Port-a-Cath has proven to be effective and safe regarding infection risks and the device permeability.
References
Granic M, Zdravkovic D, Krstajic S, Kostic S, Simic A, Sarac M, Ivanovic N, Radovanovic D, Dikic S, Kovcin V. Totally implantable central venous catheters of the port-acath type: complications due to its use in the treatment of cancer patients. J BUON. 2014;19(3):842-846.
Oliveira EB, Reis MA, Avelar TM, Vieira SC. Cateteres venosos centrais totalmente implantáveis para quimioterapia: experiência com 793 pacientes. Rev. Col. Bras. Cir.2012;40(3):186-190.
Pires NN, Vasques CI. Conhecimento de enfermeiros acerca do manuseio de Cateter totalmente implantado. Texto & Contexto Enferm. 2014;23(2):443-50.
Motta-Leal Filho JM, Carnevale FC, Sser F, Santos ACB, Sousa Junior WO, Zurstrassen CE, Affonso BB, Moreira AM. Táticas e técnicas endovasculares para retirada de corpos estranhos intravenosos. Rev Bras Cir Cardiovasc. 2010;25(2):202-208.
Girda E, Phaeton R, Goldberg GL, Kuo D. Extending the interval for port-a-cath maintenance. Modern Chemotherapy 2013;2:15-18.
Kalil AN, Mastalir ET, Riccardi F, Mädke GR, Pilla ES. Cateteres venosos totalmente implantáveis em Pacientes com neoplasia hematológica e não Hematológica. Rev Col Bras Cir. 2001;28:401-403.
Mitchell MD, Anderson BJ, Williams K, Umscheid CA. Heparin flushing and other interventions to maintain patency of central venous catheters: a systematic review. Journal of Advanced Nursing 2009;65(10):2007–2021.
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