Infection of AV fistula - Revision history

ClaireLewis: /* References */

2019-10-16T17:11:51Z

References

← Older revision		Revision as of 17:11, 16 October 2019
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	[[Category:Renal]]		[[Category:Renal]]
	[[Category:Vascular]]		[[Category:Vascular]]
			[[Category:ID]]

ClaireLewis: /* Clinical Features */

2016-07-12T22:39:25Z

Clinical Features

← Older revision		Revision as of 22:39, 12 July 2016
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	==Clinical Features==		==Clinical Features==
	*~~Pts often p/w~~ signs of systemic [[sepsis]] ([[fever]], [[hypotension]], leukocytosis)		*Often presents with signs of systemic [[sepsis]] ([[fever]], [[hypotension]], leukocytosis)
	**Classic signs of pain, erythema, swelling, discharge from infected access are often missing		**Classic signs of pain, erythema, swelling, discharge from infected access are often missing

Neil.m.young: Text replacement - " cx " to " culture "

2016-07-07T01:50:59Z

Text replacement - " cx " to " culture "

← Older revision		Revision as of 01:50, 7 July 2016
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	==Workup==		==Workup==
	*Draw peripheral and catheter [[blood cultures]] simultaneously		*Draw peripheral and catheter [[blood cultures]] simultaneously
	**4x higher colony count in catheter blood cx suggests catheter is source of bacteremia		**4x higher colony count in catheter blood culture suggests catheter is source of bacteremia

	==Management==		==Management==

Neil.m.young: Text replacement - "==Sources==" to "==References=="

2016-06-26T17:36:45Z

Text replacement - "==Sources==" to "==References=="

← Older revision		Revision as of 17:36, 26 June 2016
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	==External Links==		==External Links==

	==~~Sources~~==		==References==
	<references/>		<references/>

	[[Category:Renal]]		[[Category:Renal]]
	[[Category:Vascular]]		[[Category:Vascular]]

Ostermayer: Text replacement - " d/c" to " discharge"

2016-06-21T16:49:39Z

Text replacement - " d/c" to " discharge"

← Older revision		Revision as of 16:49, 21 June 2016
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	==Clinical Features==		==Clinical Features==
	*Pts often p/w signs of systemic [[sepsis]] ([[fever]], [[hypotension]], leukocytosis)		*Pts often p/w signs of systemic [[sepsis]] ([[fever]], [[hypotension]], leukocytosis)
	**Classic signs of pain, erythema, swelling, ~~d/c~~ from infected access are often missing		**Classic signs of pain, erythema, swelling, discharge from infected access are often missing

	==Differential Diagnosis==		==Differential Diagnosis==

Ostermayer: Text replacement - "Category:Nephro" to "Category:Renal"

2016-03-22T14:08:26Z

Text replacement - "Category:Nephro" to "Category:Renal"

← Older revision		Revision as of 14:08, 22 March 2016
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	<references/>		<references/>

	[[Category:~~Nephro~~]]		[[Category:Renal]]
	[[Category:Vascular]]		[[Category:Vascular]]

Rossdonaldson1 at 06:26, 12 December 2014

2014-12-12T06:26:50Z

← Older revision		Revision as of 06:26, 12 December 2014
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	==Sources==		==Sources==
	<references/>		<references/>

			[[Category:Nephro]]
			[[Category:Vascular]]

Rossdonaldson1: /* Management */

2014-12-12T06:18:39Z

Management

← Older revision		Revision as of 06:18, 12 December 2014
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	==Management==		==Management==
	*Give [[vancomycin]] 1gm IV +/- ~~genamicin~~ 100mg IV (if gram neg suspected)		*Give [[vancomycin]] 1gm IV +/- [[gentamicin]] 100mg IV (if [[gram neg]] suspected)
	*Do not remove dialysis patient's access		*Do not remove dialysis patient's access
	**Catheter is only removed if fever persists for 2-3d after ~~abx~~ are started		**Catheter is only removed if [[fever]] persists for 2-3d after [[antibiotics]] are started

	==Disposition==		==Disposition==

Rossdonaldson1 at 06:17, 12 December 2014

2014-12-12T06:17:35Z

← Older revision		Revision as of 06:17, 12 December 2014
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	==Background==		==Background==
			*Dialysis catheter–related bacteremia is common and potentially life-threatening

	==Clinical Features==		==Clinical Features==
			*Pts often p/w signs of systemic [[sepsis]] ([[fever]], [[hypotension]], leukocytosis)
			**Classic signs of pain, erythema, swelling, d/c from infected access are often missing

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Workup==		==Workup==
			*Draw peripheral and catheter [[blood cultures]] simultaneously
			**4x higher colony count in catheter blood cx suggests catheter is source of bacteremia

	==Management==		==Management==
			*Give [[vancomycin]] 1gm IV +/- genamicin 100mg IV (if gram neg suspected)
			*Do not remove dialysis patient's access
			**Catheter is only removed if fever persists for 2-3d after abx are started

	==Disposition==		==Disposition==
			*Admit

	==See Also==		==See Also==
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	==Sources==		==Sources==
	<references/>		<references/>

	~~===[[Infection of AV fistula]]===~~
	*Pts often p/w signs of systemic [[sepsis]] ([[fever]], [[hypotension]], leukocytosis)
	**Classic signs of pain, erythema, swelling, d/c from infected access are often missing
	*Dialysis catheter–related bacteremia is common and potentially life-threatening
	**Give [[vancomycin]] 1gm IV +/- genamicin 100mg IV (if gram neg suspected)
	**Do not remove dialysis patient's access
	*Draw peripheral and catheter [[blood cultures]] simultaneously
	**4x higher colony count in catheter blood cx suggests catheter is source of bacteremia
	***Even so catheter is only removed if fever persists for 2-3d after abx are started

Rossdonaldson1: Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== {{AV shunt complications DDX}} ==Workup== ==Management== ==Disposition== ==See Also== *Dialysis complic..."

2014-12-12T06:08:49Z

Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== {{AV shunt complications DDX}} ==Workup== ==Management== ==Disposition== ==See Also== *Dialysis complic..."

New page

==Background==

==Clinical Features==

==Differential Diagnosis==
{{AV shunt complications DDX}}

==Workup==

==Management==

==Disposition==

==See Also==
*[[Dialysis complications]]

==External Links==

==Sources==
<references/>

===[[Infection of AV fistula]]===
*Pts often p/w signs of systemic [[sepsis]] ([[fever]], [[hypotension]], leukocytosis)
**Classic signs of pain, erythema, swelling, d/c from infected access are often missing
*Dialysis catheter–related bacteremia is common and potentially life-threatening
**Give [[vancomycin]] 1gm IV +/- genamicin 100mg IV (if gram neg suspected)
**Do not remove dialysis patient's access
*Draw peripheral and catheter [[blood cultures]] simultaneously
**4x higher colony count in catheter blood cx suggests catheter is source of bacteremia
***Even so catheter is only removed if fever persists for 2-3d after abx are started