The Korean Journal of Medicine

  • 제86권3호
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  • Pages.282-294
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  • 2014
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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중심정맥관 관련 감염의 진단과 치료

Diagnosis and Management of Central Venous Catheter-Related Infections

  • 박기호 (경희대학교 의과대학 내과학교실)
  • Park, Ki-Ho (Department of Internal Medicine, Kyung Hee University College of Medicine)
  • 발행 : 2014.03.01
⟨ 이전 논문 다음 논문 ⟩

초록

Use of central venous catheters (CVCs) can lead to catheter-related bloodstream infections (CRBSIs) and such infections are associated with serious morbidity and mortality and with increased health care costs. The diagnosis of CRBSI needs to be accurate for adequate management. Semiquantitative catheter tip culture has been established as standard in most laboratories, but this method requires catheter removal. Catheter-sparing diagnostic methods, such as differential quantitative blood cultures and differential time to positivity have emerged as reliable diagnostic techniques. Management of CRBSIs involves deciding on catheter removal and the type and duration of systemic antimicrobial therapy. Such decisions depend on the identity of the organism causing the bloodstream infection and the clinical and radiographic manifestations suggesting a complicated course.

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참고문헌

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  1. A Prospective Study of Extending the Implanted Port Heparin Flushing Cycle in Outpatients with Solid Tumors vol.30, pp.2, 2018, https://doi.org/10.7475/kjan.2018.30.2.216
  2. 중심정맥관 번들이행에 따른 중심정맥관 균집락과 중심정맥관 관련 혈류감염: CHG테가덤과 일반테가덤 드레싱비교연구 vol.50, pp.4, 2014, https://doi.org/10.4040/jkan.19215