A community of 30,000 US Transcriptionist serving Medical Transcription Industry
"Given that she has completed her chemotherapy and she is unlikely to require a MediPort again, it can certainly be removed if it has been (seated or seeded) and is a site of her continued infection." Thanks.
I would put seeded. But if you decide to flag it, please let us know what QA or the dictator confirm it to be.
I found several articles referencing this as a source of infection.
One
A number of totally implanted venous access devices that contain their own ports attached to a centrally placed catheter have been developed. These include the Mediport, Infuse-a-Port®, and Port-a-Cath®. These devices are associated with a number of early and late complications. Of these, thrombosis occurs in 12%–74% of CVCs in cancer patients and is the subject of this review.
The odds ratio for infection related to thrombosis was 4.1 and prophylactic heparin/vancomycin/ciprofloxacin or heparin/vancomycin flushes resulted in a threefold lower incidence of blood infection compared with heparin alone. This is not a surprising finding, since almost all cannulated blood vessels contain a fibrin sheath that is seeded with adherent cocci.
http://theoncologist.alphamedpress.org/cgi/content/full/9/2/207
Two
Infection is probably the most common complication of CVAD use in the outpatient setting. Catheter-related infections can occur at any time the device is in place. Pathogenic organisms can enter and infect intravascular devices by contamination of the infusate, contamination at junctions in IV tubing, contamination at the insertion site, and systemic seeding from a distant source.
http://hivinsite.ucsf.edu/InSite?page=kb-03-03-03