Infected Port-A-Cath - Forum

Surgical student

Infected Port-A-Cath - Ärzteforum

Post#1 »

A 21 yo male Sickle came with fever, tenderness, and limited localized erythema over the port site. He seemed to respond to iv Vanco+Genta after 24 hrs. Peripheral BC grew fungus,id pending. Culture from the port is pending. ID specialist demands removal of Port-A-Cath. I ran to the library and looked up a recent review of Central Venous Access in one of the Current Problems in Surgery which seemed to support the removal in fungemia complicated catheter. Any comments,suggestions.

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Re: Infected Port-A-Cath - Ärzteforum

Post#2 »

go ahead and remove the port-a-cath yesterday if you can.
Fungal endocarditis is a possible complication. By the way, why do you need
the Port-a-Cath anyway?

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Lady Surgeon

Re: Infected Port-A-Cath - Ärzteforum

Post#3 »

If there is a candida infection the port and cath should be removed. We
try to salvage portacath and hickmans with bacterial infection but not
with candida. This is not based on any level I-II evidence, of course,
but there are not enough cases to collect meaningful data.

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