Impact of insertion into the left internal jugular vein in chemoport-associated infections: a retrospective single-center study of 1690 cases
Abstract We analyzed chemoport insertion procedures to evaluate infectious morbidity and factors causing infection. This single-center retrospective study included 1690 cases of chemoport implantation between January 2017 and December 2020. Overall, chemoports were inserted in 1582 patients. The ave...
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Nature Portfolio
2024-04-01
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| Online Access: | https://doi.org/10.1038/s41598-024-59749-2 |
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| author | Gwon-Min Kim Seunghwan Song Do Young Kim Soo Han Kim Chung Won Lee Miju Bae Jong Won Kim Up Huh |
| author_facet | Gwon-Min Kim Seunghwan Song Do Young Kim Soo Han Kim Chung Won Lee Miju Bae Jong Won Kim Up Huh |
| author_sort | Gwon-Min Kim |
| collection | DOAJ |
| description | Abstract We analyzed chemoport insertion procedures to evaluate infectious morbidity and factors causing infection. This single-center retrospective study included 1690 cases of chemoport implantation between January 2017 and December 2020. Overall, chemoports were inserted in 1582 patients. The average duration of chemoport use was 481 days (range 1–1794, median 309). Infections occurred in 80 cases (4.7%), with 0.098 per 1000 catheter-days. Among the 80 cases in which chemoports were removed because of suspected infection, bacteria were identified in 48 (60%). Significantly more cases of left internal jugular vein punctures were noted in the infected group (15 [18.8%] vs. 147 [9.1%]; p = 0.004). Pulmonary embolism was significantly different between the infection groups (3 [3.8%] vs. 19 (1.2%), p = 0.048). The hazard ratio was 2.259 (95% confidence interval [CI] 1.288–3.962) for the left internal jugular vein, 3.393 (95% CI 1.069–10.765) for pulmonary embolism, and 0.488 (95% CI 0.244–0.977) for chronic obstructive pulmonary disease. Using the right internal jugular vein rather than the left internal jugular vein when performing chemoport insertion might reduce subsequent infections. |
| first_indexed | 2024-04-24T07:16:07Z |
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| id | doaj.art-52d2d6b5186242cea303df13fac41bd6 |
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| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-24T07:16:07Z |
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| spelling | doaj.art-52d2d6b5186242cea303df13fac41bd62024-04-21T11:16:42ZengNature PortfolioScientific Reports2045-23222024-04-011411710.1038/s41598-024-59749-2Impact of insertion into the left internal jugular vein in chemoport-associated infections: a retrospective single-center study of 1690 casesGwon-Min Kim0Seunghwan Song1Do Young Kim2Soo Han Kim3Chung Won Lee4Miju Bae5Jong Won Kim6Up Huh7Medical Research Institute, Pusan National UniversityDepartment of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University HospitalDepartment of Hematology-Oncology, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University HospitalDivision of Respiratory, Department of Internal Medicine, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University HospitalDepartment of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University HospitalDepartment of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University HospitalDepartment of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University HospitalDepartment of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University HospitalAbstract We analyzed chemoport insertion procedures to evaluate infectious morbidity and factors causing infection. This single-center retrospective study included 1690 cases of chemoport implantation between January 2017 and December 2020. Overall, chemoports were inserted in 1582 patients. The average duration of chemoport use was 481 days (range 1–1794, median 309). Infections occurred in 80 cases (4.7%), with 0.098 per 1000 catheter-days. Among the 80 cases in which chemoports were removed because of suspected infection, bacteria were identified in 48 (60%). Significantly more cases of left internal jugular vein punctures were noted in the infected group (15 [18.8%] vs. 147 [9.1%]; p = 0.004). Pulmonary embolism was significantly different between the infection groups (3 [3.8%] vs. 19 (1.2%), p = 0.048). The hazard ratio was 2.259 (95% confidence interval [CI] 1.288–3.962) for the left internal jugular vein, 3.393 (95% CI 1.069–10.765) for pulmonary embolism, and 0.488 (95% CI 0.244–0.977) for chronic obstructive pulmonary disease. Using the right internal jugular vein rather than the left internal jugular vein when performing chemoport insertion might reduce subsequent infections.https://doi.org/10.1038/s41598-024-59749-2ChemoportInfectionInternal jugular vein |
| spellingShingle | Gwon-Min Kim Seunghwan Song Do Young Kim Soo Han Kim Chung Won Lee Miju Bae Jong Won Kim Up Huh Impact of insertion into the left internal jugular vein in chemoport-associated infections: a retrospective single-center study of 1690 cases Scientific Reports Chemoport Infection Internal jugular vein |
| title | Impact of insertion into the left internal jugular vein in chemoport-associated infections: a retrospective single-center study of 1690 cases |
| title_full | Impact of insertion into the left internal jugular vein in chemoport-associated infections: a retrospective single-center study of 1690 cases |
| title_fullStr | Impact of insertion into the left internal jugular vein in chemoport-associated infections: a retrospective single-center study of 1690 cases |
| title_full_unstemmed | Impact of insertion into the left internal jugular vein in chemoport-associated infections: a retrospective single-center study of 1690 cases |
| title_short | Impact of insertion into the left internal jugular vein in chemoport-associated infections: a retrospective single-center study of 1690 cases |
| title_sort | impact of insertion into the left internal jugular vein in chemoport associated infections a retrospective single center study of 1690 cases |
| topic | Chemoport Infection Internal jugular vein |
| url | https://doi.org/10.1038/s41598-024-59749-2 |
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