NOSOCOMIAL INFECTIONS

Question 1

intravascular device that terminates at or close to the heart or one of the great vessels

Answer 1

central venous catheter

Question 2

what is the central venous catheter examples?

Answer 2

non tunneled CVCs

tunneled CVCs

dialysis catheter

peripherally inserted central catheters (PICCs)

implanted ports

Question 3

what are CVCs used for?

Answer 3

short, medium, long term venous access in all settings

Question 4

this is an infection that originates from or is related to a CVC?

a lab confirmed infection where a CVC is in place for more than 2 calendar days prior to a positive culture and is also in place the day of or day prior to culture

Answer 4

clinical defn of CLABSI

Question 5

criteria for CLABSI?

Answer 5

clinical signs of infection: fever, rigors, AMS, hypotension

no alternate source of bloodstream infection

positive blood culture from a. peripheral vein with any one of the following: catheter tip, catheter, catheter drawn blood culture

Question 6

steps in the management of suspected CLABSI?

Answer 6

STEP 1: consider a CLABSI in any patient with fever/WBCs
who has an intravascular catheter in place

STEP 2: If the patient has fever and only mild-moderately ill, the catheter does not need to be removed (yet)
-REMOVE catheter if septic,

STEP 3:
-Is the catheter tunneled or non-tunneled?