Management of catheter-related infection.
Nosocomial infections related to the development of catheter-related infections are a leading cause of morbidity and mortality among critically ill hospitalized patients. Despite important preventive efforts, these infections remain a daily concern for most clinicians. Significant improvements in the knowledge of their pathophysiology and diagnosis allow us to treat them more efficiently. Current practices, such as guidewire exchange of catheters suspected to be the source of clinical sepsis, are supported by indirect evidence only. Infected catheters should systematically be removed, but some of them may be salved by combining systemic and antibiotic-lock treatment. After reviewing some specific therapeutic aspects, we suggest a practical approach to manage catheter-related infections.
Pagani
Jean-Luc
JL
Department of Adult Intensive Care Medicine & Burn Centre, Centre Hospitalier Universitaire Vaudois, BH 08-609, Bugnon 46, CH-1011 Lausanne, Switzerland. jean-luc.pagani@chuv.ch
Eggimann
Philippe
P
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002404:Catheterization / Q000009:adverse effects; D002405:Catheterization, Central Venous / Q000009:adverse effects; D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control*; D019468:Disease Management; D004866:Equipment Contamination / Q000517:prevention & control*; D006801:Humans; D017053:Infection Control / Q000379:methods
D000900:Anti-Bacterial Agents