A Comparison of Guide Wire-Directed Catheter Exchange (GWE) Versus Catheter Removal in Tunneled Hemodialysis Catheter (TDC)-Associated Bacteremia
نویسنده
چکیده
TDC: Tunneled Dialysis Catheter; GWE: Guidewire-Directed Exchange; MSSA: Methicillin-Sensitive Staphylococcus Aureus; MRSA: Methicillin-Resistant Staphylococcus Aureus; CNS: Coagulase-Negative Staphylococcus; VREF: VancomycinResistant Enterococcus Faecalis; ABE: Acute Bacterial Endocarditis; PE: Pulmonary Embolism; DVT: Deep Vein Thrombophlebitis (Central Vein); CNS: Central Nervous System; CNI: Calcineurin Inhibitor Therapy (Transplant Patient)
منابع مشابه
Routine replacement of tunneled, cuffed, hemodialysis catheters eliminates paraspinal/vertebral infections in patients with catheter-associated bacteremia.
BACKGROUND Management of tunneled, cuffed, central venous catheters in hemodialysis (HD) patients with bacteremia remains a challenge. Attempts to salvage the catheter with systemic antibiotics alone have been associated with increased risk of metastatic infectious complications. METHODS Retrospective case series of patients with infectious complications in a chronic dialysis unit, affiliated...
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Tunneled dialysis catheters (TDC) are extensively used for long-term venous hemodialysis access and their use is frequently associated with infectious complications. Catheter-related bacteremia (CRB) is the most common and important infection associated with TDC use and may be caused by a wide variety of Gram-positive or Gram-negative organisms. Prevention of CRB can be difficult despite use of...
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