The conclusion of this study is that in patients with suspected CRI, immediate CVC removal may be unnecessary if the patient does not have a transplanted organ, intravascular foreign body, haemodynamic instability, immunosuppressive disease or therapy, suppuration or inflammation at the insertion site, or bacteraemia or fungemia.
Other aspects should be taken into account in the decision-making, such as vascular accessibility, the risk of mechanical complications during new cannulation that may be life-threatening, and the possibility that the CVC may not be the origin of the suspected CRI.
Authors:
Leonardo Lorente1*, María M Martín2 , Pablo Vidal3 , Sergio Rebollo4 , María I Ostabal5 , Jordi Solé-Violán6 and Working Group on Catheter Related Infection Suspicion Management of GTEIS/SEMICYUC
1 Intensive Care Unit, Hospital Universitario de Canarias, Ofra s/n, La Laguna, Santa Cruz de Tenerife 38320, Spain.
2 Intensive Care Unit, Hospital Universitario Nuestra Señora Candelaria, Carretera Rosario s/n, Santa Cruz Tenerife 38010, Spain.
3 Intensive Care Unit, Complexo Hospitalario Universitario de Ourense, C/ Ramon Puga Noguerol n°54, Ourense 32005, Spain.
4 Intensive Care Unit, Hospital General Universitario Santa Lucía, C/ Mezquita s/n, Paraje Los Arcos, Cartagena, Murcia 30202, Spain.
5 Intensive Care Unit, Hospital Miguel Servet, Paseo Isabel la Catolica n° 1-3, Zaragoza 50009, Spain.
6 Intensive Care Unit, Hospital Universitario Dr. Negrín, CIBERES, Barranco de la Ballena s/n, Las Palmas de Gran Canaria 35010, Spain.
Correspondence: lorentemartin@msn.com
Cite this article as: Lorente et al.: Should central venous catheter be systematically removed in patients with suspected catheter related infection? Critical Care 2014 18:564.
