[Is there any microbiologically-based specificity of the management of catheter related infections?].
After microbiological identification, several points are to be taken into account: microbiological results, clinical signs of severity, catheter withdrawal or not. French and American recommendations are very different for coagulase negative staphylococci. Catheter withdrawal and antibiotic treatment are recommended by all the authors for coagulase positive staphylococci infections. There is no a clear guideline or studies on Enterobacteriaceae or Pseudomonas infections. Catheter removal and antifungal treatment are recommended for Candida infection.
Lepape
A
A
Réanimation Nord, centre hospitalier universitaire Lyon-Sud, Chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France. alain.lepape@chu-lyon.fr
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000382:microbiology / Q000628:therapy; D002177:Candidiasis / Q000382:microbiology / Q000628:therapy; D002404:Catheterization / Q000009:adverse effects*; D003428:Cross Infection / Q000382:microbiology* / Q000628:therapy*; D016905:Gram-Negative Bacterial Infections / Q000382:microbiology / Q000628:therapy; D006801:Humans; D013203:Staphylococcal Infections / Q000382:microbiology / Q000628:therapy
D000900:Anti-Bacterial Agents