exit-site infection

exit-site infection

Infectious disease A catheter-related infection which occurs in central venous catheters Clinical Erythema, tenderness, induration of skin and subcutaneous tissue that extends > 2 cm from the skin exit site. See Central venous catheter.
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Provides data to support evidencebased research on exit-site infection prevention.
PD exit-site classification is a well-known methodology used to diagnose exit-site infections, but it has had limited usefulness for nurses practising at the bedside.
Practice consistency in classifying peritoneal dialysis (PD) catheter exit sites promotes the standardization of technique throughout a hospital, and enhances prevention and monitoring of exit-site infections.
No hospital-acquired PD exit-site infections post-implementation
However, catheter exit-site infection was more frequent in patients with clinical sepsis (Figure).
We observed a dramatic decrease in the incidence of all catheter-related infections: catheter exit-site infection dropped from 9.
This possibility is suggested by the fact that catheter exit-site infections were more prevalent in the group of patients with clinical sepsis than in the group of patients with microbiologically documented BSI.
Appropriate clinical assessment and management of the CVC exit site is vital, as it is a source of microbial colonization leading to exit-site infection and the potential for subsequent bacteremia and sepsis (Jones, 1998).
Is a wet exit site associated with a CVC exit-site infection, whereas a dry exit site is not?
The NKF-K/DOQI (2006) guidelines define a CVC exit-site infection as one in which inflammation is limited to the surrounding area, not extending superiorly beyond the cuff and a positive exudate culture.
The CANNT Journal Award 2008 went to Lori Harwood, Barbara Wilson, Bonita Thompson, Elizabeth Brown and Danae Young, from London, Ontario, for their article "Predictors of hemodialysis central venous catheter exit-site infections.