Show Summary Details
Page of

Cardiac infections 

Cardiac infections
Chapter:
Cardiac infections
DOI:
10.1093/med/9780198729228.003.0008
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 19 November 2019

Central venous catheters (CVCs) are frequently used for the administration of drugs and infusions in both hospital and community settings. Infection arising from CVCs is a frequent complication and can result not only in bacteraemia, but also in metastatic infection, including septic emboli and endocarditis. Risk factors associated with the development of infective complications involves host, operator, and CVC factors. Causative organisms typically consist of Gram-positive bacteria and, to a lesser degree, Gram-negative bacteria and fungi. Definitive treatment often involves line removal. Systemic antimicrobial treatment delivered via the CVC, with or without adjunctive antimicrobial line locks, represents an alternative for attempted line salvage. The chosen method of treatment is dependent on a number of factors, including the causative organism(s), clinical state of the patient, presence of complications, and response to empirical treatment. Preventive measures can substantially reduce the risk of CVC infection. Current guidelines advocate the use of care bundles emphasizing both the aseptic insertion of CVCs and vigilance with regard to line maintenance.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.