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J Med Primatol ; 37(4): 202-9, 2008 Aug.
Article in English | MEDLINE | ID: mdl-18331559

ABSTRACT

BACKGROUND: Risk factors associated with surgical site infection (SSI) and the development of short-term complications in macaques undergoing vascular access port (VAP) placement are evaluated in this study. METHODS: Records from 80 macaques with VAPs were retrospectively reviewed. Logistic regression was used to identify factors associated with short-term post-operative complications. RESULTS: The primary outcome was SSI, which occurred in 21.6% (52.6% in the first 12 months vs. 13% thereafter) of procedures. SSI was associated with major secondary complications including VAP removal (11.4%), wound dehiscence (5.7%), and mechanical catheter occlusion (5.7%). In multivariate modeling, only surgical program progress was a statistically significant predictor of SSI, while animal compliance had a slightly protective effect. CONCLUSIONS: Vascular access ports have a moderate risk of complications, provided the surgical program optimizes best practices. Under complex experimental conditions, VAPs represent an important refinement, both improving animals' overall well-being and environment and reducing stress.


Subject(s)
Catheters, Indwelling/veterinary , Macaca fascicularis/surgery , Macaca mulatta/surgery , Surgical Wound Infection/veterinary , Animals , Catheters, Indwelling/adverse effects , Female , Femoral Vein/surgery , Male , Retrospective Studies , Risk Factors
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