Diagnosis and prevention of catheter-related infections
| Autor: | J.-F. Timsit |
|---|---|
| Přispěvatelé: | Clinique de réanimation médicale, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-Hôpital Michallon, Vesin, Aurélien |
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Catheterization Central Venous Quality Assurance Health Care medicine.drug_class MESH: Quality Assurance Health Care medicine.medical_treatment MESH: Catheters Indwelling MESH: Bacteriological Techniques Critical Care and Intensive Care Medicine law.invention 03 medical and health sciences MESH: Infection Control 0302 clinical medicine Catheters Indwelling MESH: Anti-Infective Agents Local Antiseptic Fibrinolytic Agents law 030225 pediatrics Intensive care Sepsis MESH: Anti-Bacterial Agents medicine Infection control Humans MESH: Fibrinolytic Agents Blood culture 030212 general & internal medicine Intensive care medicine MESH: Sepsis Bacteriological Techniques Infection Control MESH: Catheterization Central Venous MESH: Humans medicine.diagnostic_test business.industry Risk of infection Intensive care unit 3. Good health Anti-Bacterial Agents Catheter Intensive Care Units [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie Anti-Infective Agents Local MESH: Intensive Care Units [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie business Central venous catheter |
| Zdroj: | Current Opinion in Critical Care Current Opinion in Critical Care, Lippincott, Williams & Wilkins, 2007, 13 (5), pp.563-71. ⟨10.1097/MCC.0b013e3282efa03f⟩ |
| ISSN: | 1070-5295 |
| Popis: | International audience; PURPOSE OF REVIEW: To highlight the major advances in diagnosing and preventing catheter-related infections published in research articles published between March 2004 and May 2007. RECENT FINDINGS: The challenge remains to make the diagnosis of catheter-related infection with good accuracy without catheter removal. The differential time to obtain positive qualitative blood culture appeared to be the most accurate available technique. Many catheter-related bloodstream infections are preventable. Simple interventions are often useful and multimodal programs are very efficacious, particularly in the intensive care setting. For long-term catheter-related bloodstream infection prevention, patient education appeared promising. Interesting evidence suggested that anticoagulant, by decreasing the biofilm formation, could decrease the risk of infection. For short-term central venous catheter-related infections research is ongoing on antiseptic dressings. Antiseptic lock appeared promising for preventing long-term central venous catheter bloodstream infections. SUMMARY: Nowadays, multimodal programs of catheter infection prevention are efficacious. Levels of catheter-related bloodstream infection of more than one or two per 1000 catheter-days are usually only found in the intensive care unit. It is a prerequisite to evaluate the cost-effectiveness of new techniques of prevention. As catheter-related bloodstream infections become rarer, strategies limiting unnecessary removal of catheters need to be developed and tested. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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