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Diagnosis of Catheter-Related Infections

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Catheter-Related Infections in the Critically Ill

Part of the book series: Perspectives on Critical Care Infectious Diseases ((CCID,volume 8))

Conclusions

New techniques have been recently proposed for the diagnosis of CRI. The most promising ones seem to be the direct examination of blood drawn from the catheter using the AOLC test and Gram stain, and the differential time to positivity of paired blood cultures. Both techniques could be more accurate for long-dwelling catheters, such as those used in cancer patients, than for short-term catheters. Therefore, these new tools have to be validated in different acute care settings before they can be recommended for routine use (50). The easiest method to set up immediately might be the differential time to positivity test, given many clinical microbiology laboratories use continuous monitoring blood culture systems, and many physicians investigate a new fever by drawing simultaneous catheter and venipuncture blood cultures

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Authors and Affiliations

  1. Service de Réanimation Polyvalente, Institut Gustave Roussy, Villejuif, France

    Gérard Nitenberg M.D. & François Blot M.D.

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  1. Gérard Nitenberg M.D.
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  2. François Blot M.D.
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Editors and Affiliations

  1. Critical Care Medicine Department Warren Grant Magnuson Clinical Center, National Institutes of Health, 10 Center Drive Building 10, Room 7D43, Bethesda, MD, 20892

    Naomi P. O’Grady M.D.

  2. University Hospital Infection Control Program Department of Internal Medicine, University of Geneva Hospitals, 1211, Geneva 14, Switzerland

    Didier Pittet M.D.

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Nitenberg, G., Blot, F. (2004). Diagnosis of Catheter-Related Infections. In: O’Grady, N.P., Pittet, D. (eds) Catheter-Related Infections in the Critically Ill. Perspectives on Critical Care Infectious Diseases, vol 8. Springer, Boston, MA. https://doi.org/10.1007/1-4020-8010-7_4

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  • DOI: https://doi.org/10.1007/1-4020-8010-7_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4020-8009-8

  • Online ISBN: 978-1-4020-8010-4

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