A case of stage IV b pancreatic cancer in which a catheter-related infection caused by epidural/subcutaneous reservoir therapy affected palliative home-based care

We report the case of a patient with a stage IV b pancreatic cancer in which epidural/subcutaneous reservoir therapy was effective for pain control. However, a catheter-related infection caused by methicillin-resistant Staphylococcus aureus (MRSA)was occurred. In recent years, the number of cancer p...

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Bibliographic Details
Published inGan to kagaku ryoho Vol. 39 Suppl 1; p. 61
Main Authors Kinoshita, Shoji, Inoue, Daisuke, Sakuyama, Toshikazu, Yoshizawa, Akitaka, Nagasaki, Eijiroh, Arakawa, Yasuhiro, Uwagawa, Tadashi, Kobayashi, Kazuma, Kobayashi, Tadashi, Saitoh, Nobuhiro, Aiba, Keisuke
Format Journal Article
LanguageJapanese
Published Japan 01.12.2012
Subjects
Aged, 80 and over
Analgesia, Epidural
Catheter-Related Infections
Fatal Outcome
Female
Home Care Services
Humans
Neoplasm Staging
Pain - drug therapy
Pain - etiology
Palliative Care
Pancreatic Neoplasms - complications
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - therapy
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Summary:We report the case of a patient with a stage IV b pancreatic cancer in which epidural/subcutaneous reservoir therapy was effective for pain control. However, a catheter-related infection caused by methicillin-resistant Staphylococcus aureus (MRSA)was occurred. In recent years, the number of cancer patients desiring palliative home-based care in Japan has increased. Epidural/subcutaneous reservoir therapy is often offered to relieve refractory pain, and to reduce the side effects of systemic administration of opioids, such as drowsiness, in homecare patients. We believe that this patient may have been able to continue home-based care if the catheter-related infection did not occur, because a significant improvement was calculated in the pain level by the numerical rating scale(NRS)observed. It is important to establish and share common strict guidelines between hospital doctors and general practitioners for the management of the subcutaneous catheter and reservoir therapy in order to prevent catheter-related infections over a long period.
ISSN:0385-0684