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• W2891650911 abstract "To quantify risk for CRI based on PABX use in CVAP placement for cancer patients.Central venous access ports (CVAP) are totally implanted devices used for chemotherapy. There is a temporal risk for catheter related infection (CRI) to insertion and perioperative prophylactic antibiotics (PABX) use is a contested issue among practitioners.Data was collected from a single center, academic oncology center. Treatment with a perioperative PABX was compared to non-treatment, to examine the incidence of 14-day CRI. Propensity scores with matched weights controlled for confounding, using 15 demographic, procedural and clinical variables.From 2007 to 2012, 1,091 CVAP were placed, where 59.7 % received PABX. The 14-day CRI rate was 0.82%, with 78% of those not receiving PABX. While results did not achieve statistical significance, use of PABX was associated with a 58% reduction in the odds of a 14-day CRI (OR = 0.42, 95% CI: 0.08-2.24, p = 0.31).The findings suggest a reduction in early CRI with the use of PABX. Since CRI treatment can range from a course of oral antibiotics, port removal, to hospital admission, we suggest clinicians consider these data when considering PABX in this high-risk population." @default.
• W2891650911 created "2018-09-27" @default.
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• W2891650911 date "2018-12-01" @default.
• W2891650911 modified "2023-10-03" @default.
• W2891650911 title "Perioperative antibiotics should be used for placement of implanted central venous ports: A propensity analysis evaluating risk" @default.
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• W2891650911 doi "https://doi.org/10.1016/j.amjsurg.2018.09.022" @default.
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