Intravenous access: related problems in oncology
| Autor: | M Viot |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Microbiology (medical)
Oncology Catheterization Central Venous medicine.medical_specialty business.industry Bacteremia General Medicine Catheter Catheters Indwelling Infectious Diseases Device removal Risk Factors Neoplasms Internal medicine Cost analysis Humans Medicine Pharmacology (medical) Antibiotic lock business Intensive care medicine Venous cannulation Antibacterial agent |
| Zdroj: | International Journal of Antimicrobial Agents. 16:165-168 |
| ISSN: | 0924-8579 |
| DOI: | 10.1016/s0924-8579(00)00234-x |
| Popis: | This article reviews the latest developments in the literature concerning two types of catheter widely used in oncology: Hickman central venous catheters (CVCs) and totally implanted venous ports. It now seems possible to diagnose catheter-related bloodstream infections (CRBI) without removing the device; recent studies showed that paired quantitative blood cultures are the most reliable and convenient method for diagnosis of CRBI. Can CRBI be cured and treated without device removal? A decision-tree/flow-chart resulting from analysis of international data by French International Experts is presented. Futures trends are reviewed: new techniques for prevention, including catheters impregnated with antimicrobials and, antiseptic hubs; flushing and antibiotic lock techniques that can be used both for prevention and treatment. |
| Databáze: | OpenAIRE |
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