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Table 2 Practical clinical implications

From: Factors influencing local signs at catheter insertion site regardless of catheter-related bloodstream infections

Factors that independently decreased local signs at insertion site:

Older age

Severe ill patients

Immunosuppression

Catheter maintenance ≤ 7 days

Jugular and femoral sites

Factors that decreased local signs in patients with CRBSI

Severe ill patients

Immunosuppression

Femoral site

Factors influencing the management of catheter*

Redness, non-purulent discharge, and purulent discharge are significantly associated with CRBSI

Local signs are absent in almost 60% of CRBSI

Local signs observed within the first 7 days are highly predictive for intravascular catheter infections

Pathological temperature (body temperature ≥ 38.5 °C or ≤ 36.5 °C), catheter type, and severity of illness in the presence of local signs do not help clinician in predicting intravascular catheter infections

  1. *see reference [4]
  2. CRBSI: catheter-related bloodstream infection.
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Critical Care

ISSN: 1364-8535