Exit site infection: Difference between revisions

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== Background ==
==Background==


* Refers to superficial soft tissue infection around the exit site of a central line
*A type of [[central line infection]] characterized by superficial soft tissue infection around the exit site of a central line


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


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


* Hyperemia, induration, and/or tenderness ≤2 cm from catheter exit site
*Hyperemia, induration, and/or tenderness ≤2 cm from catheter exit site
* May be associated with fever and purulent drainage from the exit site
*May be associated with fever and purulent drainage from the exit site
* May or may not be associated with bacteremia
*May or may not be associated with bacteremia


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


* Erythema or induration within 2 cm of the catheter exit site, in the absence of concomitant bloodstream infection and without concomitant purulence
*Erythema or induration within 2 cm of the catheter exit site, in the absence of concomitant bloodstream infection and without concomitant purulence


== Management ==
==Management==


* Swab any purulent drainage and send for culture
*Swab any purulent drainage and send for culture
* Treat empirically for typical [[skin and soft tissue infection]], then adjust based on culture results
*Treat empirically for typical [[skin and soft tissue infection]], then adjust based on culture results
* Duration typically 7 to 14 days
*Duration typically 7 to 14 days


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

Latest revision as of 18:43, 7 February 2021

Background

  • A type of central line infection characterized by superficial soft tissue infection around the exit site of a central line

Case Definition

IDSA

  • Hyperemia, induration, and/or tenderness ≤2 cm from catheter exit site
  • May be associated with fever and purulent drainage from the exit site
  • May or may not be associated with bacteremia

CDC

  • Erythema or induration within 2 cm of the catheter exit site, in the absence of concomitant bloodstream infection and without concomitant purulence

Management

  • Swab any purulent drainage and send for culture
  • Treat empirically for typical skin and soft tissue infection, then adjust based on culture results
  • Duration typically 7 to 14 days