Format

Send to

Choose Destination
See comment in PubMed Commons below
Am J Kidney Dis. 1995 Apr;25(4):593-6.

Catheter-related sepsis complicating long-term, tunnelled central venous dialysis catheters: management by guidewire exchange.

Author information

  • 1Division of Organ Transplantation, New England Deaconess Hospital, Boston, MA 02215, USA.

Abstract

Standard therapy of catheter-related sepsis of long-term, tunnelled, silicone dialysis catheters is catheter removal, parenteral antibiotics, and catheter replacement in a new venous site after documented clearing of bacteremia. This leads to loss of future venous access sites. Thirteen consecutive cases of dialysis catheter-related sepsis in 10 patients successfully managed by guidewire exchange with preservation of the same central venous access site are reported. Although the most common cause of catheter sepsis in this series was coagulase-negative staphylococcus, guidewire exchange also was successful in cases due to gram-negative rods and yeast. To preserve future venous access sites in the chronic hemodialysis population, long-term, tunnelled dialysis catheter-related sepsis should be managed by a short course of parenteral antibiotics and by changing the catheter over a guidewire using the same venous insertion site.

PMID:
7702056
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center