Catheter - Associated Bloodstream Infections

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4226   3 years ago
samer176 | 2 subscribers
4226   3 years ago
systemic inflammatory response
syndrome (SIRS). This is most likely secondary to sepsis from an infection of the patient's Hickman catheter
given the associated skin findings, although culture results are needed to confirm this diagnosis. The patient's
low blood pressure is likely secondary to developing septic shock, and he has already appropriately been
treated with intravenous fluids. Catheter removal is indicated given his hemodynamic instability. Catheter
removal is also indicated in patients with severe sepsis with organ hypoperfusion, endocarditis, suppurative
thrombophlebitis, or persistent bacteremia after 72 hours of appropriate antibiotic therapy. Long term
catheters should also be removed if culture results are positive for S. aureus, P. aeruginosa, fungi, or
mycobacteria.
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