The Use of the Water-Flushing Technique in the Maintenance of Totally Implanted Catheters and in the Reduction of Infections
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 SÃ£o 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.
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 implantÃ¡veis para quimioterapia: experiÃªncia 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. TÃ¡ticas e tÃ©cnicas 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, MÃ¤dke GR, Pilla ES. Cateteres venosos totalmente implantÃ¡veis em Pacientes com neoplasia hematolÃ³gica e nÃ£o HematolÃ³gica. 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):2007â€“2021.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under aÂ Creative Commons Attribution LicenseÂ that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeÂ The Effect of Open AccessÂ and Benefits of Publishing Open Access).