Central venous catheter-related infections in hematology and oncology: 2012 updated guidelines on diagnosis, management and prevention by the Infectious Diseases Working Party of the German Society of Hematology and Medical Oncology

被引:78
|
作者
Hentrich, M. [1 ,2 ]
Schalk, E. [3 ]
Schmidt-Hieber, M. [4 ]
Chaberny, I. [5 ]
Mousset, S. [6 ]
Buchheidt, D. [7 ]
Ruhnke, M. [8 ]
Penack, O. [9 ]
Salwender, H. [10 ]
Wolf, H. -H. [11 ]
Christopeit, M. [11 ]
Neumann, S. [12 ]
Maschmeyer, G. [13 ]
Karthaus, M. [1 ,2 ]
机构
[1] Harlaching Hosp, Dept Hematol Oncol & Palliat Care, Munich, Germany
[2] Neuperlach Hosp, Munich, Germany
[3] Univ Magdeburg, Med Ctr, Dept Hematol & Oncol, D-39106 Magdeburg, Germany
[4] HELIOS Klinikum Berlin Buch, Dept Hematol Oncol & Tumor Immunol, Berlin, Germany
[5] Hannover Med Sch, Inst Med Microbiol & Hosp Epidemiol, Hannover, Germany
[6] Agaples Markus Hosp, Interdisciplinary Ctr Palliat Med, Frankfurt, Germany
[7] Heidelberg Univ, Mannheim Univ Hosp, Dept Hematol & Oncol, Mannheim, Germany
[8] Charite, Dept Internal Med, Campus Charite Mitte, D-13353 Berlin, Germany
[9] Charite, Dept Hematol Oncol & Tumor Immunol, Campus Virchow Klinikum, D-13353 Berlin, Germany
[10] Asklepios Hosp Altona, Dept Hematol & Oncol, Hamburg, Germany
[11] Univ Hosp Halle Saale, Dept Oncol Hematol & Hemostaseol, Halle, Saale, Germany
[12] Univ Gottingen, Dept Hematol & Oncol, D-37073 Gottingen, Germany
[13] Ernst von Bergmann Hosp, Dept Hematol Oncol & Palliat Care, Potsdam, Germany
关键词
guidelines; central venous catheter; catheter infection; neutropenia; BLOOD-STREAM INFECTION; STAPHYLOCOCCUS-AUREUS BACTEREMIA; INTENSIVE-CARE-UNIT; ANTIBIOTIC-LOCK TECHNIQUE; PROSPECTIVE RANDOMIZED-TRIAL; NEUTROPENIC CANCER-PATIENTS; MARROW TRANSPLANT PATIENTS; CRITICALLY-ILL PATIENTS; DOUBLE-BLIND; RISK-FACTORS;
D O I
10.1093/annonc/mdt545
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Cancer patients are at increased risk for central venous catheter-related infections (CRIs). Thus, a comprehensive, practical and evidence-based guideline on CRI in patients with malignancies is warranted. A panel of experts by the Infectious Diseases Working Party (AGIHO) of the German Society of Hematology and Medical Oncology (DGHO) has developed a guideline on CRI in cancer patients. Literature searches of the PubMed, Medline and Cochrane databases were carried out and consensus discussions were held. Recommendations on diagnosis, management and prevention of CRI in cancer patients are made, and the strength of the recommendation and the level of evidence are presented. This guideline is an evidence-based approach to the diagnosis, management and prevention of CRI in cancer patients.
引用
收藏
页码:936 / 947
页数:12
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