Tunnel infection: Difference between revisions

Latest revision as of 18:44, 7 February 2021

Background

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

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

@@ Line 1: / Line 1: @@
-== Management ==
+==Background==
+*A type of [[central line infection]] characterized by signs of soft tissue infection extending along the tunneled portion of the catheter
-* 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]]