Abstract:
PURPOSE:To assess the role for prophylactic antibiotics in preventing totally implantable venous access device (TIVAD) infections and identify populations that may benefit from antibiotics. METHODS:1284 patients undergoing TIVAD placement were retrospectively reviewed to determine association between infection rate, prophylactic antibiotics, and clinical data including white blood cell (WBC) count, platelets, and coagulation profile. Patients were further sub-categorized based on hospital admission status and leukopenia. Patients who received antibiotics were compared to those who did not using chi-square test or Fisher's exact tests and Student's t-tests. Additionally, multivariable logistic regression analysis was used to determine factors associated with infections. RESULTS:A total of 7 infections were identified with an infection rate of 0.5%. 1010 patients received antibiotics (78.7%), and infection rate in these patients was 0.7% compared to 0% in patients who did not receive antibiotics. 21 patients were under the age of 18, eight of which received antibiotics. No infections occurred in the pediatric group. Upon multivariate analysis, developing TIVAD infection was significantly associated with inpatient placement (p < 0.0001, OR 29.1, 95% CI 3.1-272.1), while utilization of double lumen ports was not (OR 3.0, 95% CI 0.5-17.4). There were no significant associations between infections and antibiotic use (p = 0.36), leukopenia (p = 0.47), pediatric patients (p = 1) or other demographic or laboratory data. CONCLUSION:Routine use of prophylactic antibiotics with TIVAD placement should be avoided. Antibiotics may not benefit even those with greater risk for infection.
journal_name
Clin Imagingjournal_title
Clinical imagingauthors
Jo JE,Tang EY,Pua BBdoi
10.1016/j.clinimag.2018.05.012subject
Has Abstractpub_date
2018-01-01 00:00:00pages
213-216eissn
0899-7071issn
1873-4499pii
S0899-7071(18)30153-0journal_volume
51pub_type
杂志文章相关文献
CLINICAL IMAGING文献大全abstract::Hysterectomy, one of the most commonly performed surgical procedures, leads to characteristic changes in the appearance of the pelvis on imaging studies. Women who have had a hysterectomy are often at risk for several complications, both benign and malignant, that are frequently evaluated with cross-sectional imaging....
journal_title:Clinical imaging
pub_type: 杂志文章,评审
doi:10.1016/0899-7071(95)00011-e
更新日期:1995-07-01 00:00:00
abstract:BACKGROUND:Prior studies have described a pseudocalculus appearance in the distal common bile duct as a normal variant at cholangiography. The objective of this study was to describe the occurrence of pseudotumor in the distal common bile duct at endoscopic retrograde cholangiopancreatography (ERCP). METHODS:Nine pati...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2010.07.004
更新日期:2011-07-01 00:00:00
abstract::We wanted to explore the shift in modalities when diagnosing the gastrointestinal tract through the last three decades and see how this has influenced on the radiation doses given to this patient population. Activity reports from a central hospital in the years of 1979-2003 have been reviewed. The x-ray based modaliti...
journal_title:Clinical imaging
pub_type: 杂志文章,评审
doi:10.1016/j.clinimag.2007.02.022
更新日期:2007-05-01 00:00:00
abstract::In a patient suspected of having tarsal tunnel syndrome by clinical and electrophysiological exam, magnetic resonance imaging (MRI) was performed in an attempt to define the cause. Transverse and sagittal T1 and T2 images were obtained which demonstrated tubular T2 enhancing masses felt to be abnormally dilated and to...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/0899-7071(90)90007-x
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence of osteophyte induced lung fibrosis (OIF) and its relationship to osteophyte size, location, and surrounding fat. METHODS:94 CT scans of the chest were reviewed, size of the largest osteophyte and the presence of fibrosis were recorded. RESULTS:Presence of fibrosis was higher amo...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2017.02.008
更新日期:2017-01-01 00:00:00
abstract::The radiographic appearance of fat in and around soft tissue sarcomas was evaluated to assess the diagnostic potential of this finding. Based on the distribution of fat and other components, these tumors are classified into three types. ...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/0899-7071(93)00023-r
更新日期:1995-01-01 00:00:00
abstract:PURPOSE:To report the computed tomography (CT) findings of acute peptic ulcer disease (PUD) and to evaluate the usefulness of contrast media for diagnosis. METHODS:This retrospective study included 51 patients diagnosed with acute gastric peptic ulcer by endoscopy. Using a κ analysis, two radiologists independently re...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2020.10.044
更新日期:2020-11-05 00:00:00
abstract::Idiopathic necrosis of the second metatarsal head is quite unusual in adults. We present a rare case of idiopathic osteonecrosis of the second metatarsal head in an adult via magnetic resonance imaging, which enabled an early diagnosis of the necrosis before osteochondral deformity could develop. This case is notewort...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2007.03.008
更新日期:2007-11-01 00:00:00
abstract::We evaluated diffuse perfusion abnormality of the liver parenchyma in relation to cirrhosis and previous treatments and estimated its potential limitation in detecting hepatocellular carcinomas (HCCs) on CT arterial portography (CTAP) and CT hepatic arteriography (CTHA). Sixty-one patients of liver cirrhosis with or w...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/s0899-7071(00)00225-4
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to review the high-frequency ultrasonography findings of primary thyroid non-Hodgkin's lymphoma (PT-NHL). METHODS:Data of 39 patients treated for PT-NHL and 48 patients as controls were retrospectively reviewed. RESULTS:The mean age of patients, Hashimoto's thyroiditis, marked hypo...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2012.04.024
更新日期:2014-09-01 00:00:00
abstract::Portal venous aneurysm is an unusual vascular abnormality. We present this entity with magnetic resonance imaging (MRI) findings showing characteristic flow abnormality in two patients. Ultrasound examination revealed hyperechoic lobulated masses in the portal vein and the duplex Doppler study confirmed the venous flo...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/s0899-7071(98)00022-9
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVE:To review the diagnostic power of various computed tomography (CT) signs in acute appendicitis, in particular those initially classified as inconclusive. MATERIALS AND METHODS:Retrospective review of 100 CT abdomen and pelvis studies with assessment of maximal luminal diameter, wall thickness and cross-secti...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2011.04.003
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:To determine the diagnostic accuracy of multi-detector CT (MDCT) for differentiating gallbladder cancer from acute and xanthogranulomatous cholecystitis using previously described imaging features. METHODS:In this IRB approved HIPAA-compliant retrospective cohort study, contrast-enhanced MDCT of histological...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2018.04.010
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Here, we evaluated the diagnostic value of combination of thyroid imaging-reporting and data system (TI-RADS) and ultrasound elastography (USE) in risk assessment of thyroid nodules. METHODS:The clinical data of 174 patients with 232 nodules were retrospectively analyzed. All nodules were examined by gray-s...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2016.04.014
更新日期:2016-09-01 00:00:00
abstract:PURPOSE:The purpose of the present study was to evaluate the visibility and the image quality of the biliary and pancreatic duct system on magnetic resonance cholangiopancreatography (MRCP) images based on two breath-hold (BH) methods using array spatial sensitivity technique: a single-shot fast spin-echo (SS-FSE) sequ...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2013.01.011
更新日期:2013-07-01 00:00:00
abstract::Sixty-seven-year-old male presented with abdominal pain, nausea, vomiting, and decreasing level of consciousness. He was tachycardic but not hypotensive. Computed tomography scan revealed a peripherally enhancing adrenal mass and evidence of low cardiac output state. He was admitted to the intensive care unit but expi...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2014.09.012
更新日期:2015-01-01 00:00:00
abstract:INTRODUCTION:Cervical internal carotid artery (ICA) atherosclerotic plaque and stenosis is often asymmetric. We hypothesized that hyoid bone proximity to the ICA also may be asymmetric and may increase the risk of traumatic endothelial injury and accelerate atherosclerotic stenosis. METHODS:A retrospective cross-secti...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2019.05.016
更新日期:2019-01-01 00:00:00
abstract::We retrospectively analyzed contrast-enhanced computed tomography (CE-CT) findings in 18 patients with pure invasive lobular carcinoma (ILC). The features were divided into five types: an ill-defined and inhomogeneous mass with or without regional heterogeneous enhancement, a spiculated inhomogenous mass, a regional h...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2005.06.025
更新日期:2005-11-01 00:00:00
abstract::Xanthogranulomatous pancreatitis (XGP) is an extremely rare cause of a cystic pancreatic mass. The pathophysiology of this process is not entirely clear but likely results from a combination of duct obstruction, infection, and repeated hemorrhage. It is difficult to differentiate this inflammatory lesion from a cystic...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2017.05.016
更新日期:2017-01-01 00:00:00
abstract::Primary pulmonary plasmacytoma (PPP) is rare and its radiographic appearances have been seldom described. We report on a patient with PPP presenting with a hilar mass on chest radiograph. The diagnosis was confirmed by immunohistochemical study of the resected specimen. The computed tomographic and magnetic resonance ...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/0899-7071(94)00033-9
更新日期:1995-01-01 00:00:00
abstract::The objective of this study was to investigate whether rotator cuff tear morphology could be visualized using radial MRI. We retrospectively investigated 52 shoulders that underwent preoperative MRI and arthroscopy for a complete rotator cuff tear. The tear length and width were measured using oblique coronal, axial, ...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2018.04.005
更新日期:2018-01-01 00:00:00
abstract::Azygos vein enlargement can be detected in congestive heart failure, portal hypertension, inferior vena cava thrombosis, right atrial mural thrombosis, a pulmonary embolism, congenital azygos continuation to the inferior vena cava, and the arteriovenous fistula. Radiography, particularly computed tomography (CT), is v...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/s0899-7071(99)00141-2
更新日期:1999-07-01 00:00:00
abstract:PURPOSE:The objective of this study was to assess the diagnostic properties of computed tomography (CT), magnetic resonance imaging (MRI/MRCP) /Magnetic Resonance Cholangiopancreatography (MRCP), positron emission tomography/computed tomography (PET/CT), endoscopic ultrasound (EUS) and diffusion-weighted magnetic reson...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2020.11.018
更新日期:2020-12-02 00:00:00
abstract:PURPOSE:To evaluate the clinical value of (18)F-fluorodeoxyglucose positron emission tomography (PET)/computed tomography (CT) in detection of primary lesions of bone metastases. METHODS:The PET/CT scans of 77 patients with bone metastases undetermined origin were retrospectively reviewed. The results of clinical info...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2013.03.004
更新日期:2013-09-01 00:00:00
abstract::A 42-year-old female presented with pain in the hard palate following surgical curettage for giant cell reparative granuloma. Radiographs of the face at this time did not reveal any abnormality. The surgeons' query was to differentiate fibrosis from recurrence before considering her for recurettage. The three-phase bo...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/s0899-7071(00)00186-8
更新日期:2000-05-01 00:00:00
abstract:PURPOSE:To assess the feasibility of low-dose CT (LDCT) in the detection of pulmonary metastases in patients with primary gynecologic malignancies and also to compare the performance of chest digital radiography (DR) and LDCT for their delectability of pulmonary metastases, with use of standard-dose CT (SDCT) as the re...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/S0899-7071(03)00246-8
更新日期:2004-11-01 00:00:00
abstract::We present cranial magnetic resonance imaging (MRI) findings in a 6-year-old boy with Opitz syndrome. The electroencephalogram revealed epileptiform abnormalities in both frontal regions. MRI showed normal callosal development, but a rounded shape of the left hippocampus due to malrotation. The temporal horn was sligh...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/s0899-7071(02)00505-3
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to compare the accuracy of T2-weighted magnetic resonance (MR) imaging and transrectal ultrasound (TRUS) for staging of prostate cancer. MATERIAL AND METHODS:A total of 101 men with biopsy-proven prostate cancer undergoing both T2-weighted endorectal MR imaging and B-mode TRUS...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2011.11.028
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:This study aimed to report our experience with regard to imaging of mass casualty incidents (MCIs). SUBJECTS AND METHODS:Following a bomb attack, 150 casualties were referred to our hospital. Radiographs and nonenhanced CT scans were performed in 28 individuals. RESULTS:Major injuries were seen in 12 indivi...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2007.09.007
更新日期:2008-03-01 00:00:00
abstract:AIM:To assess time expenditure using the influence of computer-assisted detection (CAD) system in the interpretation of the dependence of early research and benign and malignant mammograms on readers' experience. MATERIALS AND METHODS:CAD (Image Checker V2.3; R2 Technology, Los Altos, CA, USA) was prospectively applie...
journal_title:Clinical imaging
pub_type: 杂志文章
doi:10.1016/j.clinimag.2009.10.039
更新日期:2010-11-01 00:00:00