TAILIEUCHUNG - Chapter 125. Health Care– Associated Infections (Part 7)

Vascular device–related infection is suspected on the basis of the appearance of the catheter site or the presence of fever or bacteremia without another source in patients with vascular catheters. The diagnosis is confirmed by the recovery of the same species of microorganism from peripheral-blood cultures (preferably two cultures drawn from peripheral veins by separate venipunctures) and from semiquantitative or quantitative cultures of the vascular catheter tip. Less commonly used diagnostic measures include differential time to positivity (2 h) for blood drawn through the vascular access device compared with a sample from a peripheral vein or differences in quantitative. | Chapter 125. Health Care- Associated Infections Part 7 Vascular device-related infection is suspected on the basis of the appearance of the catheter site or the presence of fever or bacteremia without another source in patients with vascular catheters. The diagnosis is confirmed by the recovery of the same species of microorganism from peripheral-blood cultures preferably two cultures drawn from peripheral veins by separate venipunctures and from semiquantitative or quantitative cultures of the vascular catheter tip. Less commonly used diagnostic measures include differential time to positivity 2 h for blood drawn through the vascular access device compared with a sample from a peripheral vein or differences in quantitative cultures a 5- to 10-fold or greater step-up for blood samples drawn simultaneously from a peripheral vein and from a CVC. When infusion-related sepsis is considered . because of the abrupt onset of fever or shock temporally related to infusion therapy a sample of the infusate or blood product should be retained for culture. Therapy for vascular access-related infection is directed at the pathogen recovered from the blood and or infected site. Important considerations in treatment are the need for an echocardiogram to evaluate the patient for bacterial endocarditis the duration of therapy and the need to remove potentially infected catheters. In one report approximately one-fourth of patients with intravascular catheter-associated S. aureus bacteremia who were studied by transesophageal echocardiography had evidence of endocarditis this test may be useful in determining the appropriate duration of treatment. Detailed consensus guidelines for the management of intravascular catheter-related infections have been published and recommend catheter removal in most cases of bacteremia or fungemia due to nontunneled CVCs. When attempting to salvage a potentially infected catheter some clinicians use the antibiotic lock technique which may facilitate .

• Y học thường thức
• Health Care
• Associated Infections
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu y khoa
• Harrisons Internal Medicine
• Health careassociated infections
• Antimicrobial susceptibility testing
• Health care worker
• Tertiary care hospital
• Health care workers
• Staphylococcus aureus
• Methicillin resistance staphylococcus aureus
• Health care workers in a tertiary care center
• Prevalence of carriage
• Health care personnel
• Health care skills
• Phlebotomy for health care personnel
• History of Phlebotomy
• Regulatory agencies
• Infection control
• Blood circulation
• Coronary circulation
• Pulmonary circulation
• Specimen collection
• Equipment for specimen collection
• Laboratory requisitions
• Performing venipuncture
• Dermal puncture
• Patient positioning
• Specimen handling
• Specimen processing
• Blood cultures
• Special phlebotomy procedures
• Glucose testing
• Bleeding time procedure
• Phlebotomy continuing education
• Practicing phlebotomy
• Quality assurance in phlebotomy
• Service quality management on health care industry in Bangalore
• Health care industry in Bangalore
• Health care spending in America
• Larger share of GDP than
• Gross domestic produc
• Home Health Care
• Health Care Routing
• Simulated Annealing algorithm
• Staff vehicle traveling
• Health Care system
• Hepatitis B virus
• Anti HBs titre
• Hepatitis B vaccination
• Joint annual health review 2015
• Socio economic situation
• Strengthening primary health care
• Health coverage
• Grassroots health network
• BMC Pediatrics
• Immediate newborn care
• District health offices
• Regional health bureau
• Health facilities
• Economic management
• Summary of Economic dissertation
• Quality of health care services
• Health insurance at district hospitals
• Health care services
• Health financial burden
• Health care services of households
• Health expenditure
• Health insurance
• Basis health level
• Hospital fee
• Out of pocket
• Lecture Economics
• Demand analysis to health care
• Copayment rate
• Demand for health care
• Market equilibrium
• Summary of Doctoral thesis
• Public private partnership
• Providing health care services
• Application of PPP in the health care
• Public health
• Usual source of care
• Cardiovascular diseases
• Health care seeking
• CVD related health care
• Health information management
• Health care delivery systems
• Health information management professionals
• Health care settings
• Electronic health records
• The patient record
• Educational attainment levels
• Nontraditional health information resources
• Findings from the Canadian survey
• Experiences with primary health care
• Primary health care
• Mupirocin resistance
• Health care provider
• Nasal swab
• Health care providers with MRSA
• Nosocomial infections
• Bio medical waste
• Hand hygiene
• Health care associated infections
• geographical dimension
• time dimension
• mental illness
• health campaigns
• Health information technology
• Improve health
• care quality
• Prevent medical errors
• Reduce health care costs
• Increase administrative efficiencies
• Decrease paperwork
• affordable care