PT  - JOURNAL ARTICLE
AU  - Ashley Bond
AU  - Paul Chadwick
AU  - Trevor R Smith
AU  - Jeremy M D Nightingale
AU  - Simon Lal
TI  - Diagnosis and management of catheter-related bloodstream infections in patients on home parenteral nutrition
AID  - 10.1136/flgastro-2018-101094
DP  - 2020 Jan 01
TA  - Frontline Gastroenterology
PG  - 48--54
VI  - 11
IP  - 1
4099  - http://fg.bmj.com/content/11/1/48.short
4100  - http://fg.bmj.com/content/11/1/48.full
SO  - Frontline Gastroenterol2020 Jan 01; 11
AB  - Catheter-related bloodstream infections (CRBSIs) commonly arise from a parenteral nutrition catheter hub. A target for a Nutrition Support Team is to have a CRBSI rate of less than 1 per 1000. The diagnosis of CRBSI is suspected clinically by a temperature shortly after setting up a feed, general malaise or raised blood inflammatory markers. It is confirmed by qualitative and quantitative blood cultures from the catheter and peripherally. Treatment of inpatients may involve central venous catheter removal and antibiotics for patients needing short-term parenteral nutrition, but catheter salvage is generally recommended for patients needing long-term parenteral nutrition, where appropriate.