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Cir Cardiov. 2016;

23(4)

:192–198

Special Article

2016 Expert consensus document on prevention, diagnosis and

treatment of short-term peripheral venous catheter-related infections

in adults

Josep A. Capdevila

a

,

,

1

,

2

, María Guembe

b

, José Barberán

c

,

2

,

3

, Arístides de Alarcón

d

,

1

,

Emilio Bouza

b

,

1

, M. Carmen Fari ˜nas

e

,

1

, Juan Gálvez

f

,

1

, Miguel Angel Goenaga

g

,

1

,

Francisco Gutiérrez

g

,

1

, Martha Kestler

b

,

1

, Pedro Llinares

h

,

1

, José M. Miró

i

,

1

, Miguel Montejo

j

,

1

,

Patricia Mu˜noz

b

,

1

, Marta Rodriguez-Creixems

b

,

1

, Dolores Sousa

h

,

1

, José Cuenca

k

,

4

,

Carlos-A. Mestres

i

,

l

,

1

,

4

, on behalf the SEICAV, SEMI, SEQ and SECTCV Societies

a

Servicio de Medicina Interna, Consorcio Sanitario de Mataró, Mataró, Barcelona, Spain

b

Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario Gregorio Mara˜nón, Madrid, Spain

c

Servicio de Medicina Interna, Hospital Universitario MontePrincipe, Madrid, Spain

d

Servicio de Enfermedades Infecciosas, Hospital Universitario Virgen del Rocío, Sevilla, Spain

e

Servicio de Enfermedades Infecciosas Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Santander, Spain

f

Servicio de Enfermedades Infecciosas y Microbiología Clínica, Hospital Universitario Virgen Macarena, Sevilla, Spain

g

Servicio de Cirugía Cardiovascular, Hospital Universitario Marqués de Valdecilla, Santander, Spain

h

Servicio de Enfermedades Infecciosas, Complejo Hospitalario Universitario A Coru˜na, A Coru˜na, Spain

i

Servicio de Enfermedades Infecciosas, Hospital Clinic-IDIBAPS, Universidad de Barcelona, Barcelona, Spain

j

Unidad de Enfermedades Infecciosas, Hospital Universitario de Cruces, Bilbao, Spain

k

Servicio de Cirugia Cardiaca, Hospital Universitario de A Coru˜na, A Coru˜na, Spain

l

Cardiothoracic and Vascular Surgery, Heart & Vascular Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

a r t i c l e i n f o

Article history:

Received 30 May 2016

Accepted 2 June 2016

Available online 6 July 2016

Keywords:

Catheter infection

Peripheral venous catheter

Prevention of catheter infection

Diagnosis of catheter infection

Treatment of catheter infection

a b s t r a c t

The use of endovascular catheters is a routine practice in secondary and tertiary care level hospitals. The

short-termuse of peripheral catheters has been found to be associatedwith the risk of nosocomial bacter-

aemia, resulting in morbidity and mortality.

Staphylococcus aureus

is mostly associated with peripheral

catheter insertion. This Consensus Document has been prepared by a panel of experts of the Spanish

Society of Cardiovascular Infections, in cooperation with experts from the Spanish Society of Internal

Medicine, Spanish Society of Chemotherapy, and the Spanish Society of Thoracic-Cardiovascular Surgery,

and aims to define and establish guidelines for the management of short duration peripheral vascular

catheters. The document addresses the indications for insertion, catheter maintenance, registering, diag-

nosis and treatment of infection, indications for removal, as well as placing an emphasis on continuous

education as a drive toward quality. Implementation of these guidelines will allow uniformity in use,

thus minimizing the risk of infections and their complications.

© 2016 Published by Elsevier Espa˜na, S.L.U. on behalf of Sociedad Espa˜nola de Cirug´ıa

Tor´acica-Cardiovascular. This is an open access article under the CC BY-NC-ND license (http://

creativecommons.org/licenses/by-nc-nd/4.0/

).

Documento de Consenso de 2016 sobre la prevención, diagnóstico

y tratamiento de las infecciones por catéter venoso periférico en adultos

Palabras clave:

Infección de catéter

Catéter venoso periférico

r e s u m e n

El uso de catéteres vasculares es una práctica muy utilizada en los hospitales. El uso de catéteres venosos

periféricos de corta duración se ha asociado con un elevado riesgo de bacteriemia nosocomial, lo que

comporta una no despreciable morbilidad y mortalidad. La etiología de estas infecciones suele ser

Abbreviations:

SEICAV, Sociedad Espa˜nola de Infecciones Cardiovasculares; SEMI, Sociedad Espa˜nola de Medicina Interna; SEQ, Sociedad Espa˜nola de Quimioterapia;

SECTCV,SociedadEspa˜noladeCirugiaTorácica-Cardiovascular;PVC,peripheralvenouscatheter;ICU,IntensiveCareUnit;NCBI,NationalCenterforBiotechnologyInformation;

NLM, National Library of Medicine; PICC, peripherally-inserted central catheters; ISDA, Infectious Disease Society of America.

Abreviaturas:

SEICAV, Sociedad Espa˜nola de Infecciones Cardiovasculares; SEMI, Sociedad Espa˜nola de Medicina Interna; SEQ, Sociedad Espa˜nola de Quimioterapia;

SECTCV,SociedadEspa˜noladeCirugiaTorácica-Cardiovascular;PVC,Peripheralvenouscatheter;ICU,IntensiveCareUnit;NCBI,NationalCenterforBiotechnologyInformation;

NLM, National Library of Medicine; PICC, Peripherally-inserted central catheters; ISDA, Infectious Disease Society of America.

This article has also been published in Rev Esp Quimioter 2016;29(4).

Corresponding author.

E-mail address:

jcapdevila@csdm.cat

(J.A. Capdevila).

1

Representing the Spanish Society of Cardiovascular Infections (SEICAV).

2

Representing the Spanish Society of Internal Medicine (SEIM).

3

Representing the Spanish Society of Chemotherapy.

4

Representing the Spanish Society of Cardiovascular-Thoracic Surgery (SECTCV).

http://dx.doi.org/10.1016/j.circv.2016.06.001

1134-0096/©2016 Published by Elsevier Espa˜na, S.L.U. on behalf of Sociedad Espa˜nola de Cirug´ıa Tor´acica-Cardiovascular. This is an open access article under the CC BY-NC-ND

license

(http://creativecommons.org/licenses/by-nc-nd/4.0/)

.