1. Executive summary: Diagnosis and Treatment of Catheter-Related Bloodstream Infection: Clinical Guidelines of the Spanish Society of Clinical Microbiology and Infectious Diseases (SEIMC) and the Spanish Society of Intensive Care Medicine and Coronary Units (SEMICYUC)
- Author
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Miguel Salavert, José Antonio Capdevila, Jaime Esteban, Miguel Sánchez, Leonardo Lorente, Emilio Bouza, M. Angeles Domínguez, Jesús Fortún, José Ramón Paño, Marta Fernandez Sampedro, Jordi Vallés, Fernando Chaves, Nuria Fernández-Hidalgo, María Guembe, Marina de Cueto, José Luis del Pozo, P. Ramírez, and José Garnacho-Montero
- Subjects
Microbiology (medical) ,0301 basic medicine ,Adult ,medicine.medical_specialty ,Catheterization, Central Venous ,Catheters ,030106 microbiology ,Hemodialysis Catheter ,Antibiòtics ,Bacteremia ,Mycology ,Guidelines ,Communicable diseases ,Catheter-related bloodstream infection ,03 medical and health sciences ,0302 clinical medicine ,Antibiotics ,Renal Dialysis ,Bloodstream infection ,Catheterization, Peripheral ,Medicine ,Humans ,030212 general & internal medicine ,Intensive care medicine ,Tunneled catheter ,Device Removal ,Bacteriological Techniques ,Cross Infection ,Executive summary ,business.industry ,Antibiotic ,Catèters ,Malalties infeccioses ,Anti-Bacterial Agents ,Suppurative thrombophlebitis ,Clinical microbiology ,Catheter ,Blood cultures ,Blood Culture ,Catheter-Related Infections ,Candida spp ,Equipment Contamination ,business ,Fungemia ,Vascular Access Devices - 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 (Sociedad Espanola de Enfermedades Infecciosas y Microbiologia Clinica and the Sociedad Espanola de Medicina Intensiva, Crftica y Unidades Coronarias). 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, Sthaphylococcus aureus, Enterococcus spp, Gram-negative bacilli, and Candida spp), antibiotic lock therapy, diagnosis and management of suppurative thrombophlebitis and local complications. (C) 2017 Elsevier Espana, S.L.U. and Sociedad Espanola de Enfermedades Infecciosas y Microbiologia Clinica. All rights reserved.
- Published
- 2017