What is the definition of a chronic exit site infection? In the 2017 ISPD guidelines for cath-related infections, it is written that in addition to removal, there are other interventions to treat refractory and chronic exit site infections. There is a clear definition of refractory exit site infection, but what is the difference between chronic and refractory exit-site infections?
What is the definition of a chronic exit site infection? In the 2017 ISPD guidelines for cath-related infections, it is written that in addition to removal, there are other interventions to treat refractory and chronic exit site infections. There is a clear definition of refractory exit site infection, but what is the difference between chronic and refractory exit-site infections?
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Cherry, J, Nurse from South Africa asked
What is the definition of a chronic exit site infection? In the 2017 ISPD guidelines for cath-related infections, it is written that in addition to removal, there are other interventions to treat refractory and chronic exit site infections. There is a clear definition of refractory exit site infection, but what is the difference between chronic and refractory exit-site infections?

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⋅ Eric Goffin from Belgium ⋅ April 22, 2022

I do not think that refractory ESI and chroinic ESI are really different things. So, I would suggest a therapeutic surgical option such as creation of a new ES (with or without cuff shaving) under antibiotic coverage …. if unsuccessful, catheter removal and contro-lateral replacement

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