Published in:
01-03-2018 | What's New in Intensive Care
What’s new: prevention of acute dialysis catheter-related infection
Authors:
Antoine Schneider, Ian Baldwin, Bertrand Souweine
Published in:
Intensive Care Medicine
|
Issue 3/2018
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Excerpt
In the intensive care unit (ICU), vascular access for renal replacement therapy (RRT) for acute kidney injury (AKI) is usually granted by means of a large-bore dual-lumen catheter (called a dialysis catheter, DC) inserted in a central vein. Infection is an important complication associated with such catheters. Catheter-related infections (CRI) are typically distinguished from colonisation (tip culture yielding >10
3 colony-forming units) and classified into catheter-related sepsis without bloodstream infection (colonisation plus signs of infection) and catheter-related blood stream infection (CRBSI). CRBSI are observed in DCs at a rate of 1–4 per 1000 catheter days [
1‐
3]. …