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Volume: 08
Research & Reviews: Journal of Medical & Health Sciences
Page 13
Notes:
Diabetes Congress & Cancer summit 2019
December 04-05, 2019
conferenceseries
.com
December 04-05, 2019 | Tokyo, Japan
Asia Pacific Conference on
Diabetes Oncology
Ami Makwana, RRJMHS 2019, ISSN: 2319-9865
Indications, efficacy and safety of chemoport in children: A study from a tertiary center
Ami Makwana
Manipal Hospital, India
Introduction:
Long term venous access is cumbersome in the pediatric age group due to thinner caliber veins, easy
compromisation of venous integrity and less co-operative nature of children. Few studies are available that look at the use of
chemoports in children and their complications.
Method:
A retrospective analysis of children who underwent chemoport insertion from January 2008 to December 2017 was
carried out.
Results:
A total of 159 children (169 chemoports) were included in the study. e most common indication for chemoport
insertion was acute lymphoblastic leukemia (52%). e mean chemoport days were 746±666 days. Among the 169 chemoports,
55% underwent chemoport removal as they completed the treatment. Chemoport hasn't been removed in 35% patients as 28%
patients are still under treatment and 7% patients expired during the treatment. Sixteen (0.1 per 1000 chemoport days) patients
had a premature removal of chemoport. e indications were port-related bloodstream infection (12 patients), port pocket
infection (one patient), exposed chemoport (one patient) or blockage of the chemoport catheter (two patients). ere were a
total of 22 (0.15 per 1000 chemoport days) complications with port-related bloodstream infection (0.09 per 1000 chemoport
days) being the commonest. Other complications include blockage, fracture, arrhythmias, avulsion, bleeding and decubitus
over port, and port pocket infection.
Conclusion:
e safe, reliable and low complication rate of chemoport helps us save more children from deadly illnesses. A
standard technique of insertion, use of imaging modality, and well-trained nursing sta can bring down the complication rate
to a negligible amount.
Biography
Ami Makwana is Employee at Manipal hospital old airport road, hall, Bangalore as final year General surgery residency.
lamymakk112@gmail.com