Infection may occur at the injection site, in the subcutaneous pocket, inside the catheter or along the track through which it is tunneled.
   

Assessment:

• Palpate the portal site and tunnel track for tenderness or induration and observe for erythema, drainage and swelling
• Assess the patient for signs of systemic infection. Monitor for an elevated leukocyte count, tachycardia, glucose intolerance, hypotension, fever, chills or general malaise.

Intervention:

• Determine site/source of infection
• Collect sample for culture and sensitivity
• Notify surgeon of infection
• Initiate antibiotic therapy