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


  • 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.


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