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Review
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Korean J Med. 2014;86(3):282-294. Published online March 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.3.282
- 중심정맥관 관련 감염의 진단과 치료
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박기호
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경희대학교 의과대학 내과학교실
- Diagnosis and Management of Central Venous Catheter-Related Infections
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Ki-Ho Park
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Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea
- Corresponding author: Ki-Ho Park ,Tel: +82-2-958-2966, Fax: +82-2-968-1848, Email: parkkiho@hotmail.com
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߽ɾ :중심정맥관; 혈류감염; 균혈증; 진단; 치료
- Abstract
- Use of central venous catheters (CVCs) can lead to catheter-related bloodstream infections (CRBSIs) and such infections are associated
with serious morbidity and mortality and with increased health care costs. The diagnosis of CRBSI needs to be accurate for
adequate management. Semiquantitative catheter tip culture has been established as standard in most laboratories, but this method
requires catheter removal. Catheter-sparing diagnostic methods, such as differential quantitative blood cultures and differential time
to positivity have emerged as reliable diagnostic techniques. Management of CRBSIs involves deciding on catheter removal and the
type and duration of systemic antimicrobial therapy. Such decisions depend on the identity of the organism causing the bloodstream
infection and the clinical and radiographic manifestations suggesting a complicated course. (Korean J Med 2014;86:282-294)
Keywords :Central venous catheter, Bloodstream infection, Bacteremia, Diagnosis, Treatment
