Abstract
PURPOSE OF REVIEW: Catheter-related blood stream infections (CRBSI) pose a significant risk to patients on home parenteral nutrition (HPN). Recurrent loss of catheters can lead to scarring and eventual loss of central access, a potentially fatal situation for patients dependent on HPN. RECENT FINDINGS: In the past, the standard of care to treat these infections required catheter removal. More recently, several studies have indicated that many CRBSI can be treated without removal of the catheter. Successful treatment without removal can be achieved by intentionally following a catheter salvage protocol. We define this as a previously defined protocol to accurately diagnose CRBSI, identify the organism(s) involved, and effectively treat not only the blood stream infection, but also sterilize the catheter. For patients on HPN with CRBSI, consider attempting line salvage if the patient is not suffering from severe sepsis, other infection related complications, or certain specific infections. Success rates vary depending on the organism causing the infection and the risks; benefits and chance of success should be considered when deciding to attempt line salvage.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 324-328 |
| Number of pages | 5 |
| Journal | Current Nutrition Reports |
| Volume | 7 |
| Issue number | 4 |
| DOIs | |
| State | Published - Dec 1 2018 |
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Keywords
- Catheter salvage
- CRBSI
- Parenteral nutrition
ASJC Scopus subject areas
- Food Science
- Nutrition and Dietetics
Cite this
To Pull or Not to Pull : Salvaging Central Line Catheters in Home Parenteral Nutrition. / Bonnes, Sara L.; Mundi, Manpreet S.; Hurt, Ryan T; Salonen, Bradley R.
In: Current Nutrition Reports, Vol. 7, No. 4, 01.12.2018, p. 324-328.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - To Pull or Not to Pull
T2 - Salvaging Central Line Catheters in Home Parenteral Nutrition
AU - Bonnes, Sara L.
AU - Mundi, Manpreet S.
AU - Hurt, Ryan T
AU - Salonen, Bradley R.
PY - 2018/12/1
Y1 - 2018/12/1
N2 - PURPOSE OF REVIEW: Catheter-related blood stream infections (CRBSI) pose a significant risk to patients on home parenteral nutrition (HPN). Recurrent loss of catheters can lead to scarring and eventual loss of central access, a potentially fatal situation for patients dependent on HPN. RECENT FINDINGS: In the past, the standard of care to treat these infections required catheter removal. More recently, several studies have indicated that many CRBSI can be treated without removal of the catheter. Successful treatment without removal can be achieved by intentionally following a catheter salvage protocol. We define this as a previously defined protocol to accurately diagnose CRBSI, identify the organism(s) involved, and effectively treat not only the blood stream infection, but also sterilize the catheter. For patients on HPN with CRBSI, consider attempting line salvage if the patient is not suffering from severe sepsis, other infection related complications, or certain specific infections. Success rates vary depending on the organism causing the infection and the risks; benefits and chance of success should be considered when deciding to attempt line salvage.
AB - PURPOSE OF REVIEW: Catheter-related blood stream infections (CRBSI) pose a significant risk to patients on home parenteral nutrition (HPN). Recurrent loss of catheters can lead to scarring and eventual loss of central access, a potentially fatal situation for patients dependent on HPN. RECENT FINDINGS: In the past, the standard of care to treat these infections required catheter removal. More recently, several studies have indicated that many CRBSI can be treated without removal of the catheter. Successful treatment without removal can be achieved by intentionally following a catheter salvage protocol. We define this as a previously defined protocol to accurately diagnose CRBSI, identify the organism(s) involved, and effectively treat not only the blood stream infection, but also sterilize the catheter. For patients on HPN with CRBSI, consider attempting line salvage if the patient is not suffering from severe sepsis, other infection related complications, or certain specific infections. Success rates vary depending on the organism causing the infection and the risks; benefits and chance of success should be considered when deciding to attempt line salvage.
KW - Catheter salvage
KW - CRBSI
KW - Parenteral nutrition
UR - http://www.scopus.com/inward/record.url?scp=85056634630&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85056634630&partnerID=8YFLogxK
U2 - 10.1007/s13668-018-0245-y
DO - 10.1007/s13668-018-0245-y
M3 - Review article
C2 - 30264353
AN - SCOPUS:85056634630
VL - 7
SP - 324
EP - 328
JO - Current Nutrition Reports
JF - Current Nutrition Reports
SN - 2161-3311
IS - 4
ER -