Tunnel infection: Difference between revisions
From IDWiki
(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...") |
No edit summary |
||
| Line 1: | Line 1: | ||
| − | == |
+ | == Background == |
| + | * A type of [[central line infection]] |
||
| ⚫ | |||
| + | |||
| ⚫ | |||
| + | === Case Definition === |
||
| ⚫ | |||
| + | |||
| ⚫ | |||
| + | ==== IDSA ==== |
||
| ⚫ | |||
| + | |||
| ⚫ | |||
| + | * 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 |
||
| + | |||
| + | ==== 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== |
||
| + | |||
| ⚫ | |||
| ⚫ | |||
| ⚫ | |||
| ⚫ | |||
| ⚫ | |||
| ⚫ | |||
| ⚫ | |||
[[Category:Infectious syndromes]] |
[[Category:Infectious syndromes]] |
||
Revision as of 14:42, 7 February 2021
Background
- A type of central line infection
Case Definition
IDSA
- 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
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 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 for management
