Diagnosis and management of catheter-related bloodstream infections in patients on home parenteral nutrition

被引：27
作者：
Bond, Ashley [1 ]
Chadwick, Paul [2 ]
Smith, Trevor R. [3 ]
Nightingale, Jeremy M. D. [4 ]
Lal, Simon [1 ]
机构：
[1] Salford Royal NHS Fdn Trust, Intestinal Failure Unit, Salford, Lancs, England
[2] Salford Royal NHS Fdn Trust, Microbiol, Salford, Lancs, England
[3] Univ Hosp Southampton NHS Fdn Trusts, Gastroenterol, Southampton, Hants, England
[4] St Marks Hosp, Gastroenterol, Harrow, Middx, England
来源：
FRONTLINE GASTROENTEROLOGY | 2020年 / 11卷 / 01期
关键词：
ETHANOL LOCK THERAPY; CENTRAL VENOUS CATHETERS; INTESTINAL FAILURE; RISK-FACTORS; SOCIETY; SALVAGE; QUALITY; REDUCE; COMPLICATIONS; TAUROLIDINE;
D O I：
10.1136/flgastro-2018-101094
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Catheter-related bloodstream infections (CRBSIs) commonly arise from a parenteral nutrition catheter hub. A target for a Nutrition Support Team is to have a CRBSI rate of less than 1 per 1000. The diagnosis of CRBSI is suspected clinically by a temperature shortly after setting up a feed, general malaise or raised blood inflammatory markers. It is confirmed by qualitative and quantitative blood cultures from the catheter and peripherally. Treatment of inpatients may involve central venous catheter removal and antibiotics for patients needing short-term parenteral nutrition, but catheter salvage is generally recommended for patients needing long-term parenteral nutrition, where appropriate.
引用
收藏
页码：48 / 54
页数：7
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