Prophylactic Antibiotic for Portacath Insertion, is there any Benefit?

Background: Prophylactic antibiotics for portacath insertion is a controversial topic and is mainly indicated in immunocompromised patients requiring the same procedure. The aim of the study is to review patients at our hospital who underwent portacath insertion with prophylactic antibiotic cover and compare them with patients who had the same procedure without antibiotic cover. We reviewed the rate of catheter-related infections (CRIs) in these two groups. Method(s): This is a retrospective study and was done by analysing the medical records, clinic letter and procedural notes using Cerner system. CRIs were defined as a patient treated with antibiotics for port site induration, positive blood cultures, or suspicion of infection that led to port removal within 30 days of placement. We reviewed the data of patients who underwent portacath insertion between March 2018 until Dec 2018. Result(s): A total of 31 Portacath insertions were done at our institution during the above mentioned period. A total of 21 patients had no antibiotic cover for the portacath insertions and 10 patients had prophylactic antibiotic cover. There were 18 male and 13 female patients. Mean age= 48 (18-70). 28 patients had right sided portacath insertion. Three patients had left sided portacath insertion. No immediate procedural or delayed complication were seen in either cohort. Conclusion(s): Our study did not show any benefit of giving prophylactic antibiotics prior to insertion of portacath.

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Artikel online veröffentlicht:
11. Mai 2021