Intravenous access: related problems in oncology

被引：10
|
作者：
Viot, M [1 ]
机构：
[1] Ctr Antoine Lacassagne, F-06189 Nice 2, France
来源：
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS | 2000年 / 16卷 / 02期
关键词：
oncology; catheter; catheter-related bloodstream infections;
D O I：
10.1016/S0924-8579(00)00234-X
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
This article reviews the latest developments in the literature concerning two types of catheter widely used in oncology: Hickman central venous catheters (CVCs) and totally implanted venous ports. It now seems possible to diagnose catheter-related bloodstream infections (CRBI) without removing the device; recent studies showed that paired quantitative blood cultures are the most reliable and convenient method for diagnosis of CRBI. Can CRBI be cured and treated without device removal? A decision-tree/flow-chart resulting from analysis of international data by French International Experts is presented. Futures trends are reviewed: new techniques for prevention, including catheters impregnated with antimicrobials and, antiseptic hubs; flushing and antibiotic lock techniques that can be used both for prevention and treatment. (C) 2000 Elsevier Science B.V. and International Society of Chemotherapy. All rights reserved.
引用
收藏
页码：165 / 168
页数：4
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