In this episode of The Internet Book of Critical Care Podcast, Josh and Adam discuss central line infections, covering prevention strategies such as prioritizing peripheral lines, maintaining strict sterility, using chlorhexidine, and early removal of unnecessary lines. They delve into diagnostic approaches, emphasizing the importance of blood cultures from multiple sites and interpreting culture patterns to differentiate between line infections and other sources of bacteremia. The hosts also discuss management, including empiric antibiotic selection, indications for line removal, and specific scenarios like septic thrombophlebitis and infected chest ports, highlighting potential pitfalls and the importance of consulting infectious disease specialists.
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