Diagnosis and treatment of catheter-related bloodstream infection: Clinical guidelines of the Spanish Society of Infectious Diseases and Clinical Microbiology and (SEIMC) and the Spanish Society of Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC)

F. Chaves, J. Garnacho-Montero, J. L. del Pozo, E. Bouza, J. A. Capdevila, M. de Cueto, M. Domínguez, J. Esteban, N. Fernández-Hidalgo, M. Fernández Sampedro, J. Fortún, M. Guembe, L. Lorente, J. R. Paño, P. Ramírez, M. Salavert, M. Sánchez, J. Vallés

Research output: Contribution to journalArticleResearchpeer-review

23 Citations (Scopus)

Abstract

© 2017 Elsevier España, S.L.U. y SEMICYUC Catheter-related bloodstream infections (CRBSI) constitute an important cause of hospital-acquired infection associated with morbidity, mortality, and cost. The aim of these guidelines is to provide updated recommendations for the diagnosis and management of CRBSI in adults. Prevention of CRBSI is excluded. Experts in the field were designated by the two participating Societies (the Spanish Society of Infectious Diseases and Clinical Microbiology and [SEIMC] and the Spanish Society of Spanish Society of Intensive and Critical Care Medicine and Coronary Units [SEMICYUC]). Short-term peripheral venous catheters, non-tunneled and long-term central venous catheters, tunneled catheters and hemodialysis catheters are covered by these guidelines. The panel identified 39 key topics that were formulated in accordance with the PICO format. The strength of the recommendations and quality of the evidence were graded in accordance with ESCMID guidelines. Recommendations are made for the diagnosis of CRBSI with and without catheter removal and of tunnel infection. The document establishes the clinical situations in which a conservative diagnosis of CRBSI (diagnosis without catheter removal) is feasible. Recommendations are also made regarding empirical therapy, pathogen-specific treatment (coagulase-negative staphylococci, Staphylococcus aureus, Enterococcus spp., Gram-negative bacilli, and Candida spp.), antibiotic lock therapy, diagnosis and management of suppurative thrombophlebitis and local complications.
Original languageEnglish
Pages (from-to)5-36
JournalMedicina Intensiva
Volume42
Issue number1
DOIs
Publication statusPublished - 1 Jan 2018

Keywords

  • Antibiotic
  • Bacteremia
  • Blood cultures
  • Catheter-related bloodstream infection
  • Guidelines

Fingerprint

Dive into the research topics of 'Diagnosis and treatment of catheter-related bloodstream infection: Clinical guidelines of the Spanish Society of Infectious Diseases and Clinical Microbiology and (SEIMC) and the Spanish Society of Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC)'. Together they form a unique fingerprint.

Cite this