Tunnel infection - Revision history

Aidan: /* Background */

2021-02-07T18:44:28Z

Background

← Older revision		Revision as of 18:44, 7 February 2021
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	== Background ==		==Background==

	* A type of [[central line infection]]		*A type of [[central line infection]] characterized by signs of soft tissue infection extending along the tunneled portion of the catheter

	=== Case Definition ===		===Case Definition===

	==== IDSA ====		====IDSA====

	* Tenderness, hyperemia, and/or induration that extends >2 cm from the exit site and along the subcutaneous tunnel		*Tenderness, hyperemia, and/or induration that extends >2 cm from the exit site and along the subcutaneous tunnel
	* May or may not be associated with bacteremia		*May or may not be associated with bacteremia

	==== CDC ====		====CDC====

	* Tenderness, erythema, or site induration >2 cm from the catheter site along the subcutaneous tract of a tunneled catheter, in the absence of concomitant [[Central line-associated bloodstream infection\|bloodstream infection]]		*Tenderness, erythema, or site induration >2 cm from the catheter site along the subcutaneous tract of a tunneled catheter, in the absence of concomitant [[Central line-associated bloodstream infection\|bloodstream infection]]

	==Management==		==Management==

Aidan at 18:42, 7 February 2021

2021-02-07T18:42:56Z

← Older revision		Revision as of 18:42, 7 February 2021
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	== ~~Management~~ ==		== Background ==

			* A type of [[central line infection]]
⚫	* Send cultures of any drainage and send blood cultures

⚫	* Remove catheter, without exchange over a wire
			=== Case Definition ===
⚫	* Insert replacement catheter at distant site

⚫	* Antibiotics
			==== IDSA ====
⚫	** Cover Gram-positive and Gram-negative organisms, and adjust based on culture results

⚫	** Without bacteremia, treat for 10 to 14 days
			* Tenderness, hyperemia, and/or induration that extends >2 cm from the exit site and along the subcutaneous tunnel
⚫	** With bacteremia, see [[Central line-associated bloodstream infection#Management\|central line-associated bloodstream infection]] for management
			* May or may not be associated with bacteremia

			==== CDC ====

			* Tenderness, erythema, or site induration >2 cm from the catheter site along the subcutaneous tract of a tunneled catheter, in the absence of concomitant [[Central line-associated bloodstream infection\|bloodstream infection]]

			==Management==

		⚫	*Send cultures of any drainage and send blood cultures
		⚫	*Remove catheter, without exchange over a wire
		⚫	*Insert replacement catheter at distant site
		⚫	*Antibiotics
		⚫	**Cover Gram-positive and Gram-negative organisms, and adjust based on culture results
		⚫	**Without bacteremia, treat for 10 to 14 days
		⚫	**With bacteremia, see [[Central line-associated bloodstream infection#Management\|central line-associated bloodstream infection]] for management

	[[Category:Infectious syndromes]]		[[Category:Infectious syndromes]]

Aidan: Created page with "== Management == * Send cultures of any drainage and send blood cultures * Remove catheter, without exchange over a wire * Insert replacement catheter at distant site * Antib..."

2021-02-07T18:41:11Z

Created page with "== Management == * Send cultures of any drainage and send blood cultures * Remove catheter, without exchange over a wire * Insert replacement catheter at distant site * Antib..."

New page

== Management ==

* Send cultures of any drainage and send blood cultures
* Remove catheter, without exchange over a wire
* Insert replacement catheter at distant site
* Antibiotics
** Cover Gram-positive and Gram-negative organisms, and adjust based on culture results
** Without bacteremia, treat for 10 to 14 days
** With bacteremia, see [[Central line-associated bloodstream infection#Management|central line-associated bloodstream infection]] for management

[[Category:Infectious syndromes]]