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Which hemodialysis patients with a tunneled catheter do you start on an antimicrobial lock to prevent bloodstream infection?

2 Answers
Mednet MemberInvited Expert
Nephrology · Ohio State Department Of Nephrology
Answered on

I don't routinely use antimicrobial lock for TDC. The patients that I would consider are:

  • Patients who have already had 2 or more CRBSIs and are still catheter-dependent, especially if access sites are running out
  • S. aureus carriers
  • Patients with endovascular prostheses
  • All CVC patients in a unit w...

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Mednet MemberInvited Expert
Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on

Definitely patients who have had a documented infection, but more recently, I have been trying to place some form of lock solution on most of my patients with catheters at all times.

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