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Author (up) Zimmerli, W. url  openurl
  Title [Intravascular catheter: prevention and therapy of infection] Type Journal Article
  Year 1989 Publication Schweizerische Medizinische Wochenschrift Abbreviated Journal Schweiz Med Wochenschr  
  Volume 119 Issue 11 Pages 344-346  
  Keywords Anti-Bacterial Agents/therapeutic use; Anticoagulants/therapeutic use; Catheterization, Central Venous/*adverse effects; Catheterization, Peripheral/*adverse effects; Humans; Sepsis/*etiology; Thrombophlebitis/etiology/therapy  
  Abstract Intravascular devices are widely used. If certain precautions are taken, catheter-related infections, and especially bacteremia, are infrequent. Special attention should be paid to the correct access (peripheral versus V. subclavia or V. jugularis interna), immediate stabilization of the position, the choice of dry dressings (transparent plastic dressings should be avoided on newly inserted or arterial catheters, as well as on damp wounds), and regular changing of peripheral lines. In the febrile patient with vascular access the infective source should be sought. If the insertion site shows signs of inflammation, or if septicemia occurs, catheters must be removed. In patients with peripheral suppurative thrombophlebitis, surgical excision of the vein must be considered. In contrast, in septic thrombophlebitis of a central vein, removal of the catheter and antibiotic and anticoagulation therapy may be sufficient.  
  Address Departement fur Innere Medizin und Forschung, Universitatskliniken, Kantonsspital Basel  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language German Summary Language Original Title Intravaskulare Katheter: Prophylaxe und Therapie der Infektion  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0036-7672 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:2717896 Approved no  
  Call Number ref @ user @ Serial 100545  
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