Securing a tunneled catheter that hangs from the chest or abdominal area can be challenging for the home TPN consumer. There is a very high risk for contamination and subsequent catheter related blood stream infection when catheter tubing hangs near an ostomy, gastrostomy tube, or diaper. Tubing that gets tangled in clothing or caught on various household furnishings can cause chronic pulling at the exit site with eventual irritation or infection.
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