central line-associated bloodstream infection

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central line-associated bloodstream infection2016-12-25T21:39:33+00:00

central line-associated bloodstream infection

MICROBIOLOGY

Definition A self-explanatory term for a serious systemic infection linked to a centrally placed intravenous catheter (“line”).

Preventive measures Hand hygiene; use of sterile barriers–e.g., gloves, mask, gown, drapes; use of skin antiseptics

Epidemiology 41,000 (estimated) CLABSIs occur/year (USA); up to one-fourth die. Patients on haemodialysis are at highest risk of CLABSIs.

Pathogens Staphylococcus, Entercoccus, Candida, gram-negative bacteria

Clinical findings Erythema, pain and oedema around insertion site, fever

Management Remove central line, antibiotics

Synonyms Central venous catheter-associated bloodstream infection, CLABSI 

References http://www.cdc.gov/HAI/bsi/CLABSI-resources.html
http://www.cdc.gov/VitalSigns/pdf/2011-03-vitalsigns.pdf 

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