Intravascular catheter-related infections (IDSA 2009) - Revision history

Aidan: Text replacement - "([Ss])olid-organ" to "$1olid organ"

2020-08-07T01:02:44Z

Text replacement - "([Ss])olid-organ" to "$1olid organ"

← Older revision		Revision as of 01:02, 7 August 2020
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	** Prolonged broad-spectrum antibiotics		** Prolonged broad-spectrum antibiotics
	** Hematologic malignancy		** Hematologic malignancy
	** Bone marrow or solid-organ transplant		** Bone marrow or solid organ transplant
	** Femoral catheterization		** Femoral catheterization
	** Colonization from ''Candida'' at many sites		** Colonization from ''Candida'' at many sites

Aidan: /* Tunneled lines */

2020-07-05T20:45:37Z

Tunneled lines

← Older revision		Revision as of 20:45, 5 July 2020
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	== Tunneled lines ==		== Tunneled lines ==

	![Figure 4](Figure 4.png)

	== Specific antimicrobial therapy ==		== Specific antimicrobial therapy ==

Aidan: /* Long-term CVCs */

2020-07-05T20:45:31Z

Long-term CVCs

← Older revision		Revision as of 20:45, 5 July 2020
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	== Long-term CVCs ==		== Long-term CVCs ==

	![Figure 3](Figure 3.png)

	== Tunneled lines ==		== Tunneled lines ==

Aidan: /* Short-term CVCs and arterial lines */

2020-07-05T20:45:24Z

Short-term CVCs and arterial lines

← Older revision		Revision as of 20:45, 5 July 2020
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	== Short-term CVCs and arterial lines ==		== Short-term CVCs and arterial lines ==

	![Figure 2](Figure 2.png)

	== Long-term CVCs ==		== Long-term CVCs ==

Aidan: /* Summary */

2020-07-05T20:45:16Z

Summary

← Older revision		Revision as of 20:45, 5 July 2020
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	* Growth from the central line detected at least 2 hours before growsth from the peripheral blood culture (i.e. differential time-to-positivity) is most predictive		* Growth from the central line detected at least 2 hours before growsth from the peripheral blood culture (i.e. differential time-to-positivity) is most predictive
	** They should be done at the same time with the same volume of blood per bottle		** They should be done at the same time with the same volume of blood per bottle

	=== Summary ===

	![Figure 1: Methods for the diagnosis of acute fever for a paitent suspected of having short-term central venous catheter infection or arterial cather infection](Figure 1.png)

	== General Management ==		== General Management ==

Aidan at 14:59, 22 October 2019

2019-10-22T14:59:51Z

← Older revision		Revision as of 14:59, 22 October 2019
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			IDSA guidelines for the diagnosis and management of intravascular catheter-related bloodstream infection. ''Clin Infect Dis''. 2009;49(11):1770-1. doi: [https://doi.org/10.1086/648113 10.1086/648113].

	== Background ==		== Background ==

Aidan: /* Specific antimicrobial therapy */

2019-08-17T21:16:50Z

Specific antimicrobial therapy

← Older revision		Revision as of 21:16, 17 August 2019
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	== Specific antimicrobial therapy ==		== Specific antimicrobial therapy ==

			{\| class="wikitable"
	{\|
	! Pathogen		! Pathogen
	! Preferred agent		! Preferred agent
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	\|}		\|}

	[[Category:~~Healthcare~~-~~associated~~ infections]]		[[Category:Hospital-acquired infections]]

Aidan at 15:22, 17 August 2019

2019-08-17T15:22:52Z

← Older revision		Revision as of 15:22, 17 August 2019
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	= Background =		== Background ==

	* Short-term catheters are those left in for less than 14 days		* Short-term catheters are those left in for less than 14 days
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	* CRBSIs involve the insertion site, the hub, or both		* CRBSIs involve the insertion site, the hub, or both

	== Organisms ==		=== Organisms ===

	* Percutaneously-inserted catheters		* Percutaneously-inserted catheters
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	** ''Pseudomonas aeruginosa''		** ''Pseudomonas aeruginosa''

	= Diagnosis =		== Diagnosis ==

	== Catheter Cultures ==		=== Catheter Cultures ===

	* Should be done when a catheter-related bloodstream infection is suspected		* Should be done when a catheter-related bloodstream infection is suspected
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	* Catheter site swab when there is drainage		* Catheter site swab when there is drainage

	== Blood Cultures ==		=== Blood Cultures ===

	* However, positive cultures for typical organisms in the abscense of another focus of infection is suggestive		* However, positive cultures for typical organisms in the abscense of another focus of infection is suggestive
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	** They should be done at the same time with the same volume of blood per bottle		** They should be done at the same time with the same volume of blood per bottle

	== Summary ==		=== Summary ===

	![Figure 1: Methods for the diagnosis of acute fever for a paitent suspected of having short-term central venous catheter infection or arterial cather infection](Figure 1.png)		![Figure 1: Methods for the diagnosis of acute fever for a paitent suspected of having short-term central venous catheter infection or arterial cather infection](Figure 1.png)

	= General Management =		== General Management ==

	* Day 1 is the first day of negative blood culture results		* Day 1 is the first day of negative blood culture results

	== Empiric antimicrobials ==		=== Empiric antimicrobials ===

	* Empiric treatment must include Gram-positives		* Empiric treatment must include Gram-positives
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	* If fungemia or bacteremia persists after removing the line beyond 72 hours, treat for 4 to 6 weeks		* If fungemia or bacteremia persists after removing the line beyond 72 hours, treat for 4 to 6 weeks

	== Removing the line ==		=== Removing the line ===

	* Long-term catheters should be removed if:		* Long-term catheters should be removed if:
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	* Both catheters should generally be removed in cases of difficult-to-treat bacteria: ''Bacillus'' spp, ''Micrococcus'' spp, or ''Propionibacterium''		* Both catheters should generally be removed in cases of difficult-to-treat bacteria: ''Bacillus'' spp, ''Micrococcus'' spp, or ''Propionibacterium''

	== Salvaging the line ==		=== Salvaging the line ===

	* Only do it if not meeting the above criteria		* Only do it if not meeting the above criteria
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	* Lock therapy should be used concurrently with systemic antimicrobials		* Lock therapy should be used concurrently with systemic antimicrobials

	= Short-term PIVs =		== Short-term PIVs ==

	* IVs that have pain, induration, erythema, or exudate should be removed		* IVs that have pain, induration, erythema, or exudate should be removed
	* Exudate should be sent for culture, including fungi and AFB if immunocompromised		* Exudate should be sent for culture, including fungi and AFB if immunocompromised

	= Short-term CVCs and arterial lines =		== Short-term CVCs and arterial lines ==

	![Figure 2](Figure 2.png)		![Figure 2](Figure 2.png)

	= Long-term CVCs =		== Long-term CVCs ==

	![Figure 3](Figure 3.png)		![Figure 3](Figure 3.png)

	= Tunneled lines =		== Tunneled lines ==

	![Figure 4](Figure 4.png)		![Figure 4](Figure 4.png)

	= Specific antimicrobial therapy =		== Specific antimicrobial therapy ==

	{\|		{\|

Aidan: Aidan moved page Line infections (IDSA 2009) to Intravascular catheter-related infections (IDSA 2009) without leaving a redirect

2019-08-13T12:06:17Z

Aidan moved page Line infections (IDSA 2009) to Intravascular catheter-related infections (IDSA 2009) without leaving a redirect

← Older revision		Revision as of 12:06, 13 August 2019
(No difference)

Aidan: /* Intravascular catheter-related infection (IDSA 2009) */

2019-08-13T12:06:06Z

Intravascular catheter-related infection (IDSA 2009)

← Older revision		Revision as of 12:06, 13 August 2019
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	= Intravascular catheter-related infection (IDSA 2009) =

	= Background =		= Background =