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Diagnosis and prevention of catheter-related infections.

Abstract : 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.
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https://www.hal.inserm.fr/inserm-00348874
Contributor : Aurélien Vesin <>
Submitted on : Monday, December 22, 2008 - 3:19:13 PM
Last modification on : Friday, November 6, 2020 - 3:54:28 AM

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Jean-François Timsit. Diagnosis and prevention of catheter-related infections.. Current Opinion in Critical Care, Lippincott, Williams & Wilkins, 2007, 13 (5), pp.563-71. ⟨10.1097/MCC.0b013e3282efa03f⟩. ⟨inserm-00348874⟩

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