Forum topic

     I had a patient this week that came in with a single port for chemo, but needed a picc before it was all over due to the amount of things being infused.  The port gave the nurse fits, and upon further investigation, we found out it had pinch off (left subclavian) and was possibly leaking (dye study).  Long story short, I told the doc it would have to be replaced, preferably thru the jugular, and a dual port to ensure he has enough access next time.  The doc asked me if a dual held more chance for infection then a single due to the extra hardware.  I could not find anything specific to answer that question.  I would not think so if it was not accessed, and I would also think there is a higher chance for infection with the addition of a PICC, which would  have the chance to infect the port.  Anybody know?  I am stumped on this one, and this doc is a pretty smart cookie.  I would like some proper info to give him. 

Thanks!  Heather