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A state of the art review on optimal practices to prevent,recognize, and manage complications associated with intravascular devices in the critically ill
Authors:Jean-François Timsit  Mark Rupp  Emilio Bouza  Vineet Chopra  Tarja Kärpänen  Kevin Laupland  Thiago Lisboa  Leonard Mermel  Olivier Mimoz  Jean-Jacques Parienti  Garyphalia Poulakou  Bertrand Souweine  Walter Zingg
Affiliation:1.Université Paris Diderot/Hopital Bichat - Réanimation Medicale et des maladies infectieuses,Paris,France;2.UMR 1137 - IAME Team 5 – DeSCID: Decision Sciences in Infectious Diseases,Control and care Inserm/Univ Paris Diderot,Paris,France;3.Division of Infectious Diseases,University of Nebraska Medical Center,Omaha,USA;4.Department of Infection Control and Epidemiology,Nebraska Medicine,Omaha,USA;5.Medicine Department, School of Medicine,Universidad Complutense de Madrid (UCM),Madrid,Spain;6.Department of Clinical Microbiology and Infectious Diseases,Hospital General Universitario Gregorio Mara?ón,Madrid,Spain;7.Instituto de Investigación Sanitaria Gregorio Mara?ón,Madrid,Spain;8.Division of Hospital Medicine, Department of Medicine, Patient Safety Enhancement Program and Center for Clinical Management Research,University of Michigan,Ann Arbor,USA;9.Department of Clinical Microbiology, University Hospitals Birmingham NHS Foundation Trust,Queen Elizabeth Hospital,Birmingham,UK;10.Department of Medicine,Royal Inland Hospital,Kamloops,Canada;11.Rede Institucional de Pesquisa e Inova??o em Medicina Intensiva, Complexo Hospitalar Santa Casa de Misericordia de Porto Alegre,Porto Alegre,Brazil;12.Critical Care Department and Infection Control Committee,Hospital de Clinicas de Porto Alegre,Porto Alegre,Brazil;13.Department of Medicine, Alpert Medical School of Brown University,Rhode Island Hospital,Providence,USA;14.Division of Infectious Diseases and Department of Epidemiology and Infection Control,Rhode Island Hospital,Providence,USA;15.Service des Urgences-SAMU 86,CHU de Poitiers,Poitiers,France;16.Université de Poitiers, UFR de Médecine Pharmacie,Poitiers,France;17.INSERM U1070, Pharmacologie des Agents antiInfectieux,Poitiers,France;18.Department of Biostatistics and Clinical Research,Centre Hospitalier Universitaire (CHU),Caen,France;19.INSERM Unité Mixte de Recherche Scientifique 1075 COMETE (N.T.) and EA4655 Risques Microbiens,Caen,France;20.4th Department of Internal Medicine,Attikon University General Hospital, Athens University School of Medicine,Athens,Greece;21.Service de Réanimation Médicale,H?pital Gabriel Montpied, CHU de Clermont-Ferrand,Clermont-Ferrand,France;22.Université Clermont Auvergne, CNRS, LMGE,Clermont-Ferrand,France;23.Infection Control Program and WHO Collaborating Centre for Patient Safety,University of Geneva Hospitals,Geneva,Switzerland
Abstract:
Intravascular catheters are inserted into almost all critically ill patients. This review provides up-to-date insight into available knowledge on epidemiology and diagnosis of complications of central vein and arterial catheters in ICU. It discusses the optimal therapy of catheter-related infections and thrombosis. Prevention of complications is a multidisciplinary task that combines both improvement of the process of care and introduction of new technologies. We emphasize the main component of the prevention strategies that should be used in critical care and propose areas of future investigation in this field.
Keywords:
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