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Catheter related Blood stream infection
About
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