Tunnelled Central Venous Catheter-Related Problems in the Early Phase of Haematopoietic Stem Cell Transplantation and Effects on Transplant Outcome
OBJECTIVE: Haematopoietic stem cell recipients need central venous catheters (CVCs) for easy administration of intravenous fluid, medications, apheresis, or dialysis procedures. However, CVCs may lead to infectious or non-infectious complications such as thrombosis. The effect of these complications...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2015-02-01
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| Series: | Turkish Journal of Hematology |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjh&un=TJH-48752 |
| _version_ | 1828029404563898368 |
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| author | Mahmut Yeral Can Boga Levent Oguzkurt Hikmet Eda Aliskan Hakan Özdoğu Yusuf Ziya Demiroğlu |
| author_facet | Mahmut Yeral Can Boga Levent Oguzkurt Hikmet Eda Aliskan Hakan Özdoğu Yusuf Ziya Demiroğlu |
| author_sort | Mahmut Yeral |
| collection | DOAJ |
| description | OBJECTIVE: Haematopoietic stem cell recipients need central venous catheters (CVCs) for easy administration of intravenous fluid, medications, apheresis, or dialysis procedures. However, CVCs may lead to infectious or non-infectious complications such as thrombosis. The effect of these complications on transplantation outcome is not clear. This manuscript presents the complication rates of double-lumen tunnelled CVCs and their effect on transplantation outcome. METHODS: Data from 111 consecutive patients, of whom 75 received autologous and 36 received allogeneic peripheral blood stem cell transplantations, were collected retrospectively. The data were validated by the Record Inspection Group of the related JACIE-accredited transplantation centre. RESULTS: Thrombosis developed in 2.7% of recipients (0.9 per 1000 catheter days). Catheter-related infection was identified in 14 (12.6%) patients (3.6 per 1000 catheter days). Coagulase-negative Staphylococcus was the most common causative agent. Engraftment time, rate of 100-day mortality, and development of grade II-IV graft-versus-host disease were not found to be associated with catheter-related complications. CONCLUSION: Sonuçlarımız nakil hastalarında tünelli SVK komplikasyonlarının yönetilebilir olduğunu ve bu komplikasyonların nakil üzerine olumsuz bir etki yaratmadığını göstermektedir. |
| first_indexed | 2024-04-10T14:10:01Z |
| format | Article |
| id | doaj.art-80454753762447e8b33a2038d97a05e5 |
| institution | Directory Open Access Journal |
| issn | 1308-5263 |
| language | English |
| last_indexed | 2024-04-10T14:10:01Z |
| publishDate | 2015-02-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Turkish Journal of Hematology |
| spelling | doaj.art-80454753762447e8b33a2038d97a05e52023-02-15T16:09:47ZengGalenos Publishing HouseTurkish Journal of Hematology1308-52632015-02-01321515710.4274/tjh.2013.0278TJH-48752Tunnelled Central Venous Catheter-Related Problems in the Early Phase of Haematopoietic Stem Cell Transplantation and Effects on Transplant OutcomeMahmut Yeral0Can Boga1Levent Oguzkurt2Hikmet Eda Aliskan3Hakan Özdoğu4Yusuf Ziya Demiroğlu5Başkent University Faculty of Medicine, Adana Adult Bone Marrow Transplantation Centre, Department of Hematology, Adana, TurkeyBaşkent University Faculty of Medicine, Adana Adult Bone Marrow Transplantation Centre, Department of Hematology, Adana, TurkeyBaşkent University Faculty of Medicine, Department of Radiology, Ankara, TurkeyBaşkent University Faculty of Medicine, Department of Medical Microbiology, Ankara, TurkeyBaşkent University Faculty of Medicine, Adana Adult Bone Marrow Transplantation Centre, Department of Hematology, Adana, TurkeyBaşkent University Faculty of Medicine, Department of Infectious Disease and Clinical Microbiology, Ankara, TurkeyOBJECTIVE: Haematopoietic stem cell recipients need central venous catheters (CVCs) for easy administration of intravenous fluid, medications, apheresis, or dialysis procedures. However, CVCs may lead to infectious or non-infectious complications such as thrombosis. The effect of these complications on transplantation outcome is not clear. This manuscript presents the complication rates of double-lumen tunnelled CVCs and their effect on transplantation outcome. METHODS: Data from 111 consecutive patients, of whom 75 received autologous and 36 received allogeneic peripheral blood stem cell transplantations, were collected retrospectively. The data were validated by the Record Inspection Group of the related JACIE-accredited transplantation centre. RESULTS: Thrombosis developed in 2.7% of recipients (0.9 per 1000 catheter days). Catheter-related infection was identified in 14 (12.6%) patients (3.6 per 1000 catheter days). Coagulase-negative Staphylococcus was the most common causative agent. Engraftment time, rate of 100-day mortality, and development of grade II-IV graft-versus-host disease were not found to be associated with catheter-related complications. CONCLUSION: Sonuçlarımız nakil hastalarında tünelli SVK komplikasyonlarının yönetilebilir olduğunu ve bu komplikasyonların nakil üzerine olumsuz bir etki yaratmadığını göstermektedir.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjh&un=TJH-48752tunnelled central venous catheterhaematopoietic stem cell transplantationthrombosisinfection |
| spellingShingle | Mahmut Yeral Can Boga Levent Oguzkurt Hikmet Eda Aliskan Hakan Özdoğu Yusuf Ziya Demiroğlu Tunnelled Central Venous Catheter-Related Problems in the Early Phase of Haematopoietic Stem Cell Transplantation and Effects on Transplant Outcome Turkish Journal of Hematology tunnelled central venous catheter haematopoietic stem cell transplantation thrombosis infection |
| title | Tunnelled Central Venous Catheter-Related Problems in the Early Phase of Haematopoietic Stem Cell Transplantation and Effects on Transplant Outcome |
| title_full | Tunnelled Central Venous Catheter-Related Problems in the Early Phase of Haematopoietic Stem Cell Transplantation and Effects on Transplant Outcome |
| title_fullStr | Tunnelled Central Venous Catheter-Related Problems in the Early Phase of Haematopoietic Stem Cell Transplantation and Effects on Transplant Outcome |
| title_full_unstemmed | Tunnelled Central Venous Catheter-Related Problems in the Early Phase of Haematopoietic Stem Cell Transplantation and Effects on Transplant Outcome |
| title_short | Tunnelled Central Venous Catheter-Related Problems in the Early Phase of Haematopoietic Stem Cell Transplantation and Effects on Transplant Outcome |
| title_sort | tunnelled central venous catheter related problems in the early phase of haematopoietic stem cell transplantation and effects on transplant outcome |
| topic | tunnelled central venous catheter haematopoietic stem cell transplantation thrombosis infection |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjh&un=TJH-48752 |
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