| Catheter infection control in parenteral nutrition. | |
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MedLine Citation:
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PMID: 1906574 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Catheter sepsis rates related to total parenteral nutrition are variable and depend on several patient-specific factors. These factors include the presence of immunosuppression or critical illness, the use of multiple intravascular catheters, and bacterial translocation. Catheter-related sepsis may present in the patient as fever, chills, change in mental status, hypotension, and leukocytosis. In patients with suspected catheter-related infection whose peripheral blood cultures do not grow the same organism as a blood culture drawn from the catheter, a guidewire exchange of the catheter has been shown to be effective. This technique should be considered a surgical procedure. Complications that are associated with guidewire exchange of central venous catheters are catheter malposition, embolism of air or septic thrombi, and cardiac arrhythmias. |
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Authors:
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S L Cahill; P N Benotti |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition Volume: 6 ISSN: 0884-5336 ISO Abbreviation: Nutr Clin Pract Publication Date: 1991 Apr |
Date Detail:
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Created Date: 1991-08-16 Completed Date: 1991-08-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8606733 Medline TA: Nutr Clin Pract Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 65-7 Citation Subset: N |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Catheterization, Central Venous
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adverse effects*,
methods,
standards Cross Infection / etiology, prevention & control*, therapy Education, Continuing Humans Parenteral Nutrition, Total / adverse effects* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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