Catheter Related Bloodstream Infections IDSA | Medical Algorithm

Evaluation

Are you evaluating a patient with a bloodstream infection and an intravascular catheter?

Yes

Did simultaneous blood cultures from the catheter and from a peripheral vein show?

• the identical species of bacteria?

Yes

• the identical biochemical profile?

Yes

• the identical antibiotic susceptibility pattern?

Yes

Number of CFU from culture of the catheter tip

Number of CFU in the blood culture drawn through the catheter

Number of CFU in the blood culture drawn from the peripheral vein

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of features favoring a catheter-related infection present

Does the patient have a catheter-related bloodstream infection?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Criteria For Diagnosis
- Criteria for Diagnosis of Intravascular Catheter Related Septicemia
- Criteria for Infections Associated with Vascular Access Ports (VAP)
Complications

Therapy

Selection
- Risk Factors for an Early Intravascular Catheter Related Infection in a Cancer Patient
Failure Handling And Therapy Escalation

Specialty

Infectious Diseases
Cardiology
Surgery, general
Hematology Oncology

Objective

criteria for diagnosis
complications
failure handling and therapy escalation

ICD-10

T85.7 - Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts

Criteria for Catheter-Related Bloodstream Infection (IDSA)

Purpose: To determine if a patient has a catheter-related blood stream infection using the criteria of the Infectious Disease Society of America (IDSA).