Treatment guidelines for dialysis catheter-related bacteremia: an update.

摘要

Earlier this year, new guidelines for the management of intravascular catheter-related infections,sponsored by the Infectious Diseases Society of America (IDSA), were published to update the previous 2001 guidelines. Recognizing the unique aspects of the management of catheter-related infections in dialysis patients, the committee solicited participation of nephrolo-gists for the first time. This document provides more comprehensive recommendations for the treatment of dialysis catheter-related bacteremia than those available in the 2006 update of the National Kidney Foundation's Kidney Disease Outcomes Quality Initiative (KDOQI) vascular access guidelines. Prevention of catheter-related bacteremia, although an important topic, was beyond the scope of the IDSA guidelines. The present commentary provides highlights of sections dealing with the management of dialysis catheter-related infections.