INTENSIVIST Volume 11, Issue 1 (January 2019)

Central line associated blood stream infections Takayuki KOMATSU 1 1Department of Emergency and Critical Care Medicine Juntendo University Nerima Hospital pp.51-62
Published Date 2019/1/1
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In the intensive care unit, where there are many indications for using a central venous catheter (CVC), central line associated blood stream infections (CLABSI) are an important group of infections in critically ill patients. The principles of treatment of CLABSI include administration of systemic antibiotics and CVC removal. In addition, the clinical practice guidelines of the Infectious Disease Society of America describe special treatments, such as antibiotic lock therapy. These may be recommended depending on the type of catheter and bacterial species because many patients use not only short-term CVCs but also long-term CVCs. If CLABSI is strongly suspected based on appropriate assessment without tight adherence to the criteria, we should choose an appropriate treatment based on a deep understanding of the patient's background.

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11巻1号 (2019年1月)
電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル