, 4 tweets, 2 min read Read on Twitter
💥Teaching point re: Rx of dialysis catheter related bacteremia
⚡️IV antibiotic alone is NEVER the correct Rx choice
Rx options are:
☄️IV antibiotic + CVC antibiotic
lock solution
☄️IV antibiotic + CVC exchange
💥The reason IV antibiotic alone is not the correct choice is because it does not eradicate the bacteria in the CVC lumen biofilm
⚡️For effective clearance of bacteria from the biofilm you have to use CVC antibiotic lock solution or exchange the CVC
💥The choice of antibiotic for catheter related bacteremia is listed below👇🏽
⚡️How to prepare the CVC antibiotic lock solution?👇🏽
💥CVC has to be removed in the setting of:
☄️Sepsis, hemodynamic instability
☄️Tunnel/ exit site infection
☄️Persistent fever after 48-72 hrs. of adequate antibiotic therapy
☄️Resistant pathogens (eg. MRSA, fungal infection) 👇🏽
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