Management of infections related to totally implantable venous-access ports: Challenges and perspectives

David Lebeaux, Nuria Fernández-Hidalgo, Ashwini Chauhan, Samuel Lee, Jean Marc Ghigo, Benito Almirante, Christophe Beloin

    Research output: Contribution to journalReview articleResearchpeer-review

    90 Citations (Scopus)


    Use of totally implantable venous-access ports (TIVAPs) is standard practice for patients with diseases such as solid-tumour cancers, haematological malignancies, and chronic digestive diseases. Use of TIVAPs allows long-term administration of venotoxic compounds, improves patients' quality of life, and reduces the risk of infection. Microbial contamination, formation of pathogenic biofilms, and infection, however, are associated with morbidity, mortality, and increased health-care costs. Local and systemic complications or infections related to specific pathogens might lead to device removal. Alternatively, conservative treatment with combined systemic antibiotics and antibiotic lock therapy might be useful. We discuss in-vitro and in-vivo basic and clinical research findings on the epidemiology, diagnosis, and prevention of TIVAP-related infections, the current challenges to management, promising strategies, and some treatments in development that are likely to improve outcomes of TIVAP-related infections, with a particular focus on antibiotic lock therapy. © 2014 Elsevier Ltd.
    Original languageEnglish
    Pages (from-to)146-159
    JournalThe Lancet Infectious Diseases
    Issue number2
    Publication statusPublished - 1 Feb 2014


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