Device-related infections in children.
Management of device-related infections includes device removal for some catheter-related bloodstream infections and all ventriculoperitoneal shunt-related infections. The isolation of certain organisms (eg, Staphylococcus aureus, Candida spp) in children with central catheters should prompt consideration of disseminated infection. Future research may determine the impact of increasing catheter use in non-intensive care hospital settings and in home care. New technologies, such as antimicrobial-impregnated central venous catheters and ventricular shunts, show promise in reducing the infection rates of these devices.
Shah
Samir S
SS
Division of Infectious Diseases, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA. shahs@email.chop.edu
Smith
Michael J
MJ
Zaoutis
Theoklis E
TE
D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects / Q000382:microbiology; D002648:Child; D003937:Diagnosis, Differential; D004866:Equipment Contamination; D006801:Humans; D018805:Sepsis / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology / Q000517:prevention & control*; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*