Agree with Ann and Lynn’s comments! We have a large population of pediatric and adult CF pts at our institution. Initially, a PICC is placed for their exacerbations. A port is recommended when there is a need for frequent IV antibiotics (2 * 3 times/yr) difficult PICC insertions (i.e. threading problems) and/or patient preference. We do educate the pts early on about ports so they can make an informed decision when their venous access needs change. While we all know the care and maintenance advantages of a port, the 2002 CDC guidelines state a port has the lowest risk of CRBSI.
Darcy Doellman RN BSN CRNI Team Leader, PICC Resource Nurse Cincinnati Children’s Hospital Medical Center. >>> "Lynn Hadaway" <[EMAIL PROTECTED]> 08/09/06 2:49 PM >>> I strongly believe the patients preferences in this situation should be a huge part of the decision. If he is requiring frequent antibiotics, then it sounds like it is time for a port. Lynn At 12:46 PM -0400 8/9/06, Tom and Louise Oak wrote: >What is everyone's practice with CF patients? > >We have a 20 year old that we placed a pICC line in for antibiotic >therapy. This is the 2nd one we have placed for a recurrent >infection. > >His mother who is an RN was wondering about a port. >She is asking if there is evidence that demonstrates whether a port >would be more beneficial than a PICC line. She knows that if the >PICC line should get infected it can be easily removed whereas a >port would require a surgeon to remove it. However, the port does >have it's benefits in terms of his lifestyle etc. > >Thanks in advance > >Louise Oak RN, CINA (c) >Vascular Access Nurse >Sault Area Hospital >X4399 -- Lynn Hadaway, M.Ed., RNC, CRNI Lynn Hadaway Associates, Inc. 126 Main Street, PO Box 10 Milner, GA 30257 http://www.hadawayassociates.com office 770-358-7861
