I have been working at myÂ Â hospital for over 5 years and we have always infused TPN and Lipids through our ports. We now have a surgeon that puts in ports asking us to place a picc line on patients with ports for the purpose of infusing the TPN. His satatement was that they cause infection in the ports. Had a discussion with an Oncologist and an IDÂ Doc. Onc. Dr. was on the fence post as in his previous hospitalÂ did not use ports for TPN and the ID Dr. states that ususally the infected ports he sees have underlying causes other that just TPN. Like numerous ABX killing all the flora and seeing yeast. ID doc didn't think risk was any higher with port vs picc. So here ther more information out there about ports and TPN that I am missing. Any input would be helpful. Thanks in advance.
Nancy Sullivan Rn