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Catheter-Related Bloodstream Infections in Hemodialysis Patients

10 Questions

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Catheter-Related Bloodstream Infections in Hemodialysis Patients

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Questions and Answers

Which of the following is the initial therapy for catheter-related bloodstream infections in patients with tunneled hemodialysis catheters?

Empiric antibiotic therapy against common skin pathogens

Antibiotic lock therapy

Exchange of the catheter over a guidewire

Fluid resuscitation and removal of the dialysis catheter (correct)

What are the most common symptoms of catheter-related bloodstream infections?

Localized pain and redness at the catheter site

Fever, malaise, and chills (correct)

Shortness of breath and chest pain

Nausea and vomiting

When should empiric antibiotic therapy be initiated for catheter-related bloodstream infections?

After removal of the dialysis catheter

Without delay (correct)

After confirmation of the infection source

Before fluid resuscitation

What is the recommended treatment for most patients with catheter-related bloodstream infections?

Prompt removal of the dialysis catheter Signup and view all the answers

Under what circumstances may antibiotic lock therapy be used for catheter-related bloodstream infections?

When the patient has poor access to the dialysis catheter Signup and view all the answers

Which of the following is the most common presentation of catheter-related bloodstream infections?

Fever and malaise Signup and view all the answers

What is the recommended initial therapy for catheter-related bloodstream infections?

Fluid resuscitation and removal of the dialysis catheter Signup and view all the answers

Which pathogens should empiric antibiotic therapy target in catheter-related bloodstream infections?

Staphylococcus aureus and coagulase-negative Staphylococcus Signup and view all the answers

In most cases, what is the recommended approach for eliminating the nidus of infection in catheter-related bloodstream infections?

Prompt removal of the dialysis catheter Signup and view all the answers

Under what circumstances may antibiotic lock therapy be used in catheter-related bloodstream infections?

When the patient has poor access for dialysis Signup and view all the answers