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Author (up) Zimmerli, W.
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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