Evidence map›Paper›PMID 22365295›Full record

ArticleJournal of vascular and interventional radiology : JVIR2012

Totally implantable venous access device placement by interventional radiologists: are prophylactic antibiotics necessary?

Anne M Covey, Franz W Toro-Pape, Raymond H Thornton, Crystal Son, Joseph Erinjeri, Constantinos T Sofocleous, Lynn A Brody, Karen T Brown, Kent A Sepkowitz, Kent A Septkowitz and 1 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of vascular and interventional radiology : JVIR, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 38 citations in OpenAlex.

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  11. Long-term outcomes of totally implantable venous access devices.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
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4 · The record

Corrections and comments

  • Erratum issued
    Septkowitz, Kent A [corrected to Sepkowitz, Kent A]
5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Anne M CoveyDepartment of Diagnostic Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA. coveya@mskcc.org
Franz W Toro-Pape
Raymond H Thornton
Crystal Son
Joseph Erinjeri
Constantinos T Sofocleous
Lynn A Brody
Karen T Brown
Kent A Sepkowitz
Kent A Septkowitz
George I Getrajdman
Memorial Sloan Kettering Cancer Center · USPonce Health Sciences University · PR

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeTo determine the rate of early infection for totally implantable venous access devices (TIVADs) placed without antibiotic prophylaxis. MATERIAL AND

methodsA list of patients who underwent TIVAD placement in 2009 was obtained from the patient archiving and communication system (PACS). This list was cross-referenced to all patients who underwent TIVAD removal from January 1, 2009, through January 30, 2010, to identify TIVADs that were removed within 30 days of placement. Retrospective chart review was performed to record patient demographics, including age, sex, cancer diagnosis, and indication for removal. Concurrent antibiotic therapy, chemotherapy, and laboratory data before and within 30 days of placement were recorded. Central line-associated bloodstream infections (CLABSIs) were identified using U.S. Centers for Disease Control and Prevention (CDC) criteria.

resultsThere were 1,183 ports placed and 13 removed. CLABSIs occurred in seven (0.6%) patients within 30 days of placement. At the time of TIVAD placement, 81 (7%) patients were receiving antibiotics incidental to the procedure. One patient who received an antibiotic the day of implantation developed a CLABSI. Chemotherapy was administered to 148 (13%) patients on the day of placement.

conclusionsThe rate of early infection without antibiotic prophylaxis before TIVAD placement in the interventional radiology suite is < 1%. Based on these data, use of prophylactic antibiotics for TIVAD placement is not recommended.

Indexed as

Antibiotic ProphylaxisRadiography, InterventionalAdolescentAdultAgedAged, 80 and overCatheterization, Central VenousCatheter-Related InfectionsCatheters, IndwellingDevice RemovalEquipment DesignFemaleGuideline AdherenceHumansMaleMiddle Aged

Identifiers

PMID22365295
PMCPMC6830723
OpenAlexW1971839041

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.