TY - JOUR T1 - Diagnosis and management of catheter-related bloodstream infections in patients on home parenteral nutrition JF - Frontline Gastroenterology JO - Frontline Gastroenterol SP - 48 LP - 54 DO - 10.1136/flgastro-2018-101094 VL - 11 IS - 1 AU - Ashley Bond AU - Paul Chadwick AU - Trevor R Smith AU - Jeremy M D Nightingale AU - Simon Lal Y1 - 2020/01/01 UR - http://fg.bmj.com/content/11/1/48.abstract N2 - 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. ER -