| Title
of the article |
Treatment of dialysis catheter-related Enterococcus bacteremia with an antibiotic lock: a quality improvement report.
|
| Authors |
Peterson WJ, Maya ID, Carlton D, Estrada E, Allon M |
| Journal
|
Am J Kidney Dis. 2009 Jan;53(1):107-11. Epub 2008 Oct 10. |
| Subject
Consultant |
C. Basile |
| Score
(1 to 3 stars) |
** |
| Comments |
Catheter-related bacteremia (CRB) is a frequent complication of tunneled dialysis catheters, and Enterococcus is a common infecting organism. CRB may be treated by instilling an antibiotic lock into the catheter lumen in conjunction with systemic antibiotics. This study shows that an antibiotic lock protocol permits catheter salvage in 61% of hemodialysis patients with Enterococcus CRB. Serious complications occur in 6% of patients and are more common in those with treatment failure. |