ABC Medical Notes.com
|Free Open Access Medical Information
|MEDICAL DISCLAIMER:The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd
Catheter related Blood stream infection
The decision to remove an intravascular catheter as a matter of urgency is a clinical one, dependent upon the severity of sepsis and the likelihood of catheter-related infection (Mermel et al., 2001). Refer to the Visual Infusion Phlebitis (VIP) score. If the VIP score suggests that treatment is indicated: Send a swab from an infected area.
Flucloxacillin 500mg 6-hourly orally. Penicillin allergy contact Consultant Microbiologist
MRSA colonised/infected: Vancomycin 1g 12-hourly iv (dose according to estimated creatinine clearance)
Suspected CRBSI severe sepsis/septic shock: Contact Consultant Microbiologist