Catheter-related complications in 52 patients treated with continuous infusion of low dose recombinant interleukin-2 via an implanted central venous catheter

Eur J Surg Oncol. 1994 Apr;20(2):122-9.

Abstract

In this study we evaluated the catheter-related complications in 52 patients with advanced melanoma, renal cell cancer or non-Hodgkin's lymphoma treated with continuous infusion of low-dose recombinant interleukin-2 by central venous access (CVA) of the port-a-cath type. We noted a high incidence (55.5%) of catheter infection, defined as positive blood cultures drawn from the CVA in symptomatic or asymptomatic patients. Six infections were noted before rIL-2 treatment was started. Twelve of the 30 documented infections were symptomatic (fever and/or chills), with only four documented bacteraemias. The most frequently cultured microorganism was Staphylococcus epidermidis (73%). Treatment initially consisted of systemic antibiotics via the CVA, but as experience increased, the mostly asymptomatic CVA infections were not treated. In 30% of the documented CVA infections a thrombus at the tip of the catheter was found by radiological contrast examination. Local thrombosis can be effectively treated with constant infusion of low dose streptokinase via the CVA.

MeSH terms

  • Adult
  • Aged
  • Bacterial Infections / etiology*
  • Bacterial Infections / microbiology
  • Bacterial Infections / prevention & control
  • Bacterial Infections / therapy
  • Catheterization, Central Venous / adverse effects*
  • Catheters, Indwelling / adverse effects
  • Female
  • Humans
  • Infusions, Intravenous
  • Interleukin-2 / administration & dosage*
  • Male
  • Middle Aged
  • Neoplasms / drug therapy
  • Pefloxacin / therapeutic use*
  • Recombinant Proteins / administration & dosage
  • Thrombosis / etiology
  • Thrombosis / therapy
  • Treatment Outcome

Substances

  • Interleukin-2
  • Recombinant Proteins
  • Pefloxacin