Central venous catheter-related infections in hematology and oncology : guidelines of the Infectious Diseases Working Party (AGIHO) of the German Society of Hematology and Oncology (DGHO)

Annals of Hematology
Hans-Heinrich WolfInfectious Diseases Working Party (AGIHO) of the German Society of Hematology and Oncology (DGHO)

Abstract

Catheter-related infections (CRI) cause considerable morbidity in hospitalized patients. The incidence does not seem to be higher in neutropenic patients than in nonneutropenic patients. Gram-positive bacteria (coagulase-negative staphylococci, Staphylococcus aureus) are the pathogens most frequently cultured, followed by Candida species. Positive blood cultures are the cornerstone in the diagnosis of CRIs, while local signs of infection are not necessarily present. Blood cultures should be taken from peripheral blood and from the venous catheter. A shorter time to positivity of catheter blood cultures as compared with peripheral blood cultures supports the diagnosis of a CRI. In many cases, a definite diagnosis requires catheter removal and microbiological analysis. The role plate method with semiquantitative cultures has been established as standard in most laboratories. Antimicrobial treatment of CRI should be directed by the in vitro susceptibility of the isolated pathogen. Primary removal of the catheter is mandatory in S. aureus and Candida infections, as well as in case of tunnel or pocket infections. Future studies will elucidate whether the rate of CRI in neutropenic patients may be reduced by catheters impregnated wit...Continue Reading

References

Jun 9, 1977·The New England Journal of Medicine·D G MakiH W Sarafin
May 1, 1992·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·J A CapdevilaJ M Martínez-Vázquez
Jan 1, 1992·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·I I Raad, M F Sabbagh
Jan 1, 1990·Journal of Clinical Microbiology·R J SherertzL L Fauerbach
Jun 1, 1988·American Journal of Infection Control·J S GarnerJ M Hughes
Oct 1, 1988·The Journal of Hospital Infection·S T FanK K Wong
Apr 1, 1988·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·C YeungR Hughes
Feb 1, 1988·The Surgical Clinics of North America·A A Hampton, R J Sherertz
May 1, 1987·Archives of Internal Medicine·C Brun-BuissonM Rapin
Jan 1, 1984·Journal of Clinical Microbiology·W R Jarvis, A K Highsmith
May 1, 1995·Journal of Biomedical Materials Research·R J SherertzD D Solomon
Apr 6, 1994·JAMA : the Journal of the American Medical Association·I I RaadG P Bodey
Apr 1, 1994·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·I I RaadG P Bodey
Apr 1, 1994·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·M L MoroA Cozzi Lepri
Jan 1, 1994·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·J PlumB Grabensee
Mar 1, 1996·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·S K FridkinW R Jarvis
Jun 1, 1996·Infectious Disease Clinics of North America·J N Greene
Jul 1, 1996·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·E C DompelingB E De Pauw
Dec 1, 1996·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·M A MillerJ Mendelson
Aug 1, 1997·Critical Care Medicine·D CookC Brun-Buisson
Dec 24, 1997·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·P LjungmanO Ringdén
Oct 14, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·T Y MaS M Berman
Dec 1, 1998·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A M GoetzR R Muder
Jan 8, 1999·The New England Journal of Medicine·R O DarouicheG Mayhall
Jan 26, 1999·JAMA : the Journal of the American Medical Association·D L VeenstraS D Sullivan
Aug 4, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A G MatlowE L Ford-Jones

❮ Previous
Next ❯

Citations

Mar 20, 2010·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·UNKNOWN Kommission für Krankenhaushygiene und Infektionsprävention beim Robert Koch-Institut (RKI)
Dec 17, 2008·Cardiovascular and Interventional Radiology·Ulf Karl-Martin TeichgräberBernhard Gebauer
Oct 15, 2008·Annals of Hematology·UNKNOWN Infectious Diseases Working Party (AGIHO) of the German Society of Hematology and Oncology (DGHO)Georg Maschmeyer
Jun 22, 2011·Journal of Materials Science. Materials in Medicine·M PolliniA Sannino
Jun 29, 2010·Annals of Oncology : Official Journal of the European Society for Medical Oncology·J de NauroisUNKNOWN ESMO Guidelines Working Group
Jan 9, 2014·Annals of Oncology : Official Journal of the European Society for Medical Oncology·M HentrichUNKNOWN Infectious Diseases Working Party of the German Society of Hematology and Medical Oncology
May 4, 2010·Seminars in Oncology Nursing·Dawn Camp-Sorrell
Jan 8, 2011·British Journal of Haematology·Jon Cohen, Stephen Drage
Dec 15, 2010·American Journal of Surgery·Courtney L ScaifeEdward W Nelson
May 29, 2014·Clinical Journal of Oncology Nursing·Saul N WeingartAngela M Cleary
Jul 28, 2016·Annals of Oncology : Official Journal of the European Society for Medical Oncology·L M BiehlM J G T Vehreschild
Mar 6, 2013·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Charles A SchifferMark Levine
Dec 30, 2010·Scandinavian Journal of Infectious Diseases·Eun-Jeong JooJae-Hoon Song
Dec 11, 2019·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Enrico SchalkLena M Biehl
Jun 3, 2015·Current Infectious Disease Reports·Asad LatifPeter J Pronovost
Jul 8, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Enrico SchalkLena M Biehl
Mar 29, 2011·Deutsches Ärzteblatt International·Ulf K TeichgräberHerbert A F Hofmann

❮ Previous
Next ❯

Related Concepts

Related Feeds

Candida albicans

Candida albicans is an opportunistic, fungal pathogen of humans that frequently causes superficial infections of oral and vaginal mucosal surfaces of debilitated and susceptible individuals. Discover the latest research on Candida albicans here.

Candidiasis

Candidiasis is a common fungal infection caused by Candida and it can affect many parts for the body including mucosal membranes as well as the gastrointestinal, urinary, and respiratory tracts. Here is the latest research.

Candidiasis (ASM)

Candidiasis is a common fungal infection caused by Candida and it can affect many parts for the body including mucosal membranes as well as the gastrointestinal, urinary, and respiratory tracts. Here is the latest research.

Related Papers

AJR. American Journal of Roentgenology
Gérald GahideHélène Vernhet-Kovacsik
Journal of Computer Assisted Tomography
Tomás FranquetJulia D Flint
Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Reginald E GreeneRobert H Rubin
© 2022 Meta ULC. All rights reserved