tailieunhanh - CATHETER-RELATED INFECTIONS IN THE CRITICALLY ILL - PART 7

xuất hiện đầy hứa hẹn (39) mặc dù biết thêm thông tin là cần thiết trong đề xuất các thay đổi trong hướng dẫn điều trị ở những bệnh nhân sâu sắc granulocytopenic với ống thông liên quan đến điều trị kháng nấm fungemia bao gồm amphotericin B và lipid của nó dựa trên chuẩn bị | 106 Catheter Related Infections in the Critically III Patient appears promising 39 although further information is needed in recommending changes in treatment guidelines in profound granulocytopenic patients with catheter-related fungemia anlil nngal treatmentincludes amphotericinCeeidits lipid-ltaied preparations caspofungin may be used in low-risk patients neutropenia dips withcaution. FilamentousFungiandOther Yeasts Similae ttirneiilick -niia due Ur Fusaaium spenca. Trichenporon species MalassszicfiufurreqeiKS semoeal of the infected catheter if other sources of bloodstream infection have been excluded. Treatment often requires systemic amphotericin B however for infections due to nonpolyene amphotericin B -susceptible fungi such as Fusarium species optimum anidcnoMliera71 is IBS rletas wecuraently lies ã combmotioo ol WghidriC AmBesome phscaepol usnciAO . Rapidsy Growing MycYbasteois Myaabusteramiu aims Ui nd . 1 is sare and Inaalsianl rd remov ofinfeciedcatheter nloiir usi 4-week antimicrobial therapy with susceptible drug combination therapy usually consisting of fluoroquinolone Rus p olidcwidrifampin. Mycobacterium abscesses tends to have high-level of drug-resistance and routine susceptibility analysis will yield much-nccdcdinuilrogaklahaa fen optimum nasg svmtóeations. I CATHETER salvage SEATAC Bong-ierm rurgisarle Racadiralhalers are ro nar I orepbii e and Io sedvsv severe morbMisy cand haalty-vare eviiuiidiinre. catheter salvage is attempted in most patients that are stable and do not exhibit signs of clinical decompensationorsepsis with orgim-dysfunction or refractory hypotension. In certain settings attempts to salvage catheter may have low yield such as 1111111 or pocyet infeclrnn. sen infection hie 0 s. cunsur Pc aeruinosa anc Candida series nc3U. Amar Safdar and Issam I. Raad 107 Antibiotic Lock Therapy The failure of effective antimicrobial elimination of sessile microorganisms thatresides within the semi-protective biofilms .