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Diagnosis and treatment of catheter-related bloodstream infection: Clinical guidelines of the Spanish Society of Infectious Diseases and Clinical Microbiology and (SEIMC) and the Spanish Society of Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC).

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Affiliations

  • 1. Servicio de Microbiología, Hospital Universitario 12 de Octubre, Madrid, Spain.
      Authors
    • Chaves F 1
    (1 author)
  • 2. Unidad Clínica de Cuidados Intensivos, Hospital Universitario Virgen Macarena, Sevilla, Spain.
      Authors
    • Garnacho-Montero J 2
    (1 author)
  • 3. Área de Enfermedades Infecciosas, Servicio de Microbiología, Clínica Universidad de Navarra, Pamplona, Spain.
      Authors
    • Del Pozo JL 3
    (1 author)
  • 4. Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Madrid; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid; CIBER de Enfermedades Respiratorias, CibeRes, Instituto de Salud Carlos III, Madrid; Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain.
      Authors
    • Bouza E 4
    (1 author)
  • 5. Servicio de Medicina Interna, Hospital de Mataró, Mataró, Barcelona, Spain.
      Authors
    • Capdevila JA 5
    (1 author)
    • Show all (18)

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Medicina Intensiva, 01 Jan 2018, 42(1):5-36
https://doi.org/10.1016/j.medin.2017.09.012 PMID: 29406956 

A comment on this article appears in "Diagnosis, treatment of bacteremia associated with the use of, vascular catheters: That provides a new clinical practice guide." Med Intensiva. 2018 Jan - Feb;42(1):1-4.

Abstract 

Catheter-related bloodstream infections (CRBSI) constitute an important cause of hospital-acquired infection associated with morbidity, mortality, and cost. The aim of these guidelines is to provide updated recommendations for the diagnosis and management of CRBSI in adults. Prevention of CRBSI is excluded. Experts in the field were designated by the two participating Societies (the Spanish Society of Infectious Diseases and Clinical Microbiology and [SEIMC] and the Spanish Society of Spanish Society of Intensive and Critical Care Medicine and Coronary Units [SEMICYUC]). Short-term peripheral venous catheters, non-tunneled and long-term central venous catheters, tunneled catheters and hemodialysis catheters are covered by these guidelines. The panel identified 39 key topics that were formulated in accordance with the PICO format. The strength of the recommendations and quality of the evidence were graded in accordance with ESCMID guidelines. Recommendations are made for the diagnosis of CRBSI with and without catheter removal and of tunnel infection. The document establishes the clinical situations in which a conservative diagnosis of CRBSI (diagnosis without catheter removal) is feasible. Recommendations are also made regarding empirical therapy, pathogen-specific treatment (coagulase-negative staphylococci, Staphylococcus aureus, Enterococcus spp., Gram-negative bacilli, and Candida spp.), antibiotic lock therapy, diagnosis and management of suppurative thrombophlebitis and local complications.

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Read article at publisher's site: https://doi.org/10.1016/j.medin.2017.09.012

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