Guidewire catheter exchange with triple culture technique in the management of catheter sepsis.

@article{Porter1988GuidewireCE,
  title={Guidewire catheter exchange with triple culture technique in the management of catheter sepsis.},
  author={Kathaleen A. Porter and Bruce R Bistrian and George L. Blackburn},
  journal={JPEN. Journal of parenteral and enteral nutrition},
  year={1988},
  volume={12 6},
  pages={
          628-32
        }
}
We report 70 total parenteral nutrition (TPN) patients who received guidewire catheter exchange for suspected sepsis during their hospitalization. To diagnose catheter-related sepsis (CRS) and catheter infection (CI), we used a system of pre- and postexchange catheter blood cultures and a catheter tip culture. There were 27 catheter exchanges with positive cultures. The rate of definite CRS/CI (eight instances) was 6.8% of catheters exchanged and 3.5% of all catheters at risk. Probable CRS/CI… CONTINUE READING
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