Treatment of catheter-related bacteraemia with an antibiotic lock protocol: effect of bacterial pathogen

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Treatment of catheter-related bacteraemia with an antibiotic lock protocol: effect of bacterial pathogen.

BACKGROUND The standard therapy of dialysis catheter-related bacteraemia involves both systemic antibiotics and catheter replacement. We reported recently that instillation of an antibiotic lock (highly concentrated antibiotic solution) into the catheter lumen after dialysis sessions, in conjunction with systemic antibiotics, can successfully treat many episodes of catheter-related bacteraemia ...

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Treatment of long-term intravascular catheter-related bacteraemia with antibiotic-lock therapy.

BACKGROUND Bacteraemia is a major complication associated with the use of long-term intravascular catheters. Conservative treatment using antibiotic-lock therapy (ALT) has been shown to be useful in some studies, but the evidence supporting its impact in clinical care is still scarce. METHODS We evaluated the outcome of the episodes of catheter-related bacteraemia (CRB) associated with long-t...

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Treatment of long-term intravascular catheter-related bacteraemia with antibiotic lock: randomized, placebo-controlled trial.

OBJECTIVES The use of an antibiotic lock (AB-lock) for the treatment of catheter-related bloodstream infection (CRBSI) has been suggested, but randomized trials have never been performed. METHODS A randomized, blinded, multicentre trial was set up to compare an AB-lock-containing vancomycin for Gram-positive or ceftazidime for Gram-negative bacteria-with placebo, in addition to parenteral AB ...

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Antibiotic lock solutions for the prevention of catheter-related bacteraemia in haemodialysis patients.

OBJECTIVE To investigate the effect of antibiotic lock solutions for preventing catheter-related bacteraemia in patients receiving haemodialysis. DESIGN Retrospective study. SETTING University teaching hospital, Hong Kong. PATIENTS Consecutive patients from March 2006 to April 2007 who had central venous catheter insertion for haemodialysis in our centre were included in this historically...

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ژورنال

عنوان ژورنال: Nephrology Dialysis Transplantation

سال: 2004

ISSN: 0931-0509,1460-2385

DOI: 10.1093/ndt/gfh041