[Venous catheter-related infections].
Venous catheter-related infections are a problem of particular importance, due to their frequency, morbidity and mortality, and because they are potentially preventable clinical processes. At present, the majority of hospitalized patients and a considerable number of outpatients are carriers of these devices. There has been a remarkable growth of knowledge of the epidemiology of these infections, the most appropriate methodology for diagnosis, the therapeutic and, in particular, the preventive strategies. Multimodal strategies, including educational programs directed at staff and a bundle of simple measures for implementation, applied to high-risk patients have demonstrated great effectiveness for their prevention. In this review the epidemiology, the diagnosis, and the therapeutic and preventive aspects of these infections are updated.
Servicio de Enfermedades Infecciosas, Hospital Universitario Vall d'Hebron, Barcelona, España.
Carmen
C
Ferrer
Servicio de Enfermedades Infecciosas, Hospital Universitario Vall d'Hebron, Barcelona, España. Electronic address: balmirante@vhebron.net.
Benito
B
Almirante
D000465:Algorithms; D000890:Anti-Infective Agents / Q000627:therapeutic use; D055499:Catheter-Related Infections / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002406:Catheterization, Peripheral / Q000009:adverse effects*; D003428:Cross Infection / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D020878:Device Removal; D004352:Drug Resistance, Microbial; D004866:Equipment Contamination; D006801:Humans; D016867:Immunocompromised Host; D010689:Phlebitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012307:Risk Factors; D012867:Skin / Q000382:microbiology; D013030:Spain / Q000453:epidemiology
D000890:Anti-Infective Agents
Antimicrobial therapy; Bacteremia; Bacteriemia; Catéter vascular; Epidemiology; Epidemiología; Prevención; Prevention; Tratamiento antimicrobiano; Vascular catheter