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  3. 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).

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).

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Chaves F
  • Garnacho-Montero J
  • Del Pozo JL
  • Bouza E
  • Capdevila JA
  • de Cueto M
  • Dominguez MA
  • Esteban J
  • Fernandez-Hidalgo N
  • Fernandez Sampedro M
  • Fortun J
  • Guembe M
  • Lorente L
  • Pano JR
  • Sanchez M
  • Valles J

Grupos

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.

Datos de la publicación

ISSN/ISSNe:
0210-5691, 1578-6749

Medicina Intensiva  ELSEVIER ESPANA SLU

Tipo:
Article
Páginas:
5-36
PubMed:
29406956
Factor de Impacto:
0,334 SCImago ℠
Cuartil:
Q2 SCImago ℠

Citas Recibidas en Web of Science: 126

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Keywords

  • *Antibiotic; *Antibioticoterapia; *Bacteremia; *Bacteriemia; *Bacteriemia relacionada con cateter; *Blood cultures; *Catheter-related bloodstream infection; *Guidelines; *Guia de practica clinica; *Hemocultivos

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