![]() ![]() Shunt catheter-related infection Shunt infection Shunt tunnel Tunnel infection. Earlier this year, new guidelines for the management of intravascular catheter-related infections,1 sponsored by the Infectious Diseases Society of America (IDSA), were published to update the previous 2001 guidelines.2 Recognizing the unique aspects of the management of catheter-related infections in dialysis patients, the committee solicited participation of nephrologists for the first time. Our case series juxtaposes 2 alternative successful strategies for treating the rare entity of shunt tunnel infection. Maximal Barrier Precautions Decrease CLABSI Infections Slide 23. The healthcare provider will put a soft, flexible tube called a catheter into your bladder to drain urine. One case was treated with a course of antibiotics, and the other with surgical removal and eventual replacement. Both cases presented as erythema over the thoracic portion of the shunt without signs of CNS infection, with only a remote history of shunt surgery and no recent systemic illness. We describe 2 cases of shunt tunnel infection. These infections are typically treated with line replacement or antibiotics depending on clinical circumstances. Removal of tunneled central venous catheter, without subcutaneous port or. Tunnel infections are well-described clinical entities occurring with indwelling catheters, whereby the indwelling tunnel portion of a line becomes externally infected with a sterile central lumen. Introduction of catheter, superior or inferior vena cava. Shunt infections are common pediatric neurosurgical cases with high morbidity that almost always requires surgical removal of the shunt, external ventricular drain placement, and delayed shunt replacement.
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