Catheter Salvage

has AML and a port in place for chemotherapy. Her blood culture is growing S. epidermidis.

The team does NOT plan to remove her port. What is the BEST antibiotic plan?

How did others respond?

Reveal the answer

Best Answer

Vancomycin IV + lock

Explanation: In catheter-related bloodstream infections (CRBSI) where catheter removal is not pursued, salvage therapy with an antibiotic lock 🔒 IN ADDITION to systemic therapy 💉 is recommended per IDSA guidelines.

Catheter salvage is NOT RECOMMENDED in some organisms:
-S. aureus
-P. aeruginosa
-Candida spp.

It is also NOT RECOMMENDED in some clinical scenarios:
-sepsis/shock 🚨
-endocarditis 🫀
-thrombophlebitis
-tunneling infection
-bacteremia >72 hours 🕐

Don’t forget to lock in 🔒 when it comes to catheter salvage therapy!