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Title: 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: Chaves, Fernando
Garnacho Montero, José
Pozo, José Luis del
Bouza, Emilio
Capdevila, José Antonio
Cueto, Marina de
Domínguez Luzón, Ma. Ángeles (María Ángeles)
Esteban, Jaime
Fernández Hidalgo, Nuria
Fernández Sampedro, Marta
Fortún, Jesús
Guembe, María
Lorente, Leonardo
Paño, Jose Ramón
Ramírez, Paula
Salavert, Miguel
Sánchez, Miguel
Vallés, Jordi
Keywords: Catèters
Malalties infeccioses
Communicable diseases
Issue Date: Feb-2018
Publisher: Elsevier
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 Española de Enfermedades Infecciosas y Microbiología Clínica and the Sociedad Española de Medicina Intensiva, Crítica 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.
Note: Versió postprint del document publicat a:
It is part of: Enfermedades Infecciosas y Microbiologia Clinica, 2018, vol. 36, num. 2, p. 112-119
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ISSN: 0213-005X
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
Articles publicats en revistes (Patologia i Terapèutica Experimental)

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