I have a patient with tunnel infection with staph aureus. She presented with fever and pain along the tunnel and exit site redness. US showed inflammation and small fluid collection along the tunnel. It was aspirated and grew staph aureus. The PD fluid is clean. I started IP vanco and PO keflex 500 TID. Its now the 3rd day, fever is gone but still complaining of pain and drainage. Should I get the catheter removed and abondon tyring to salvage the catheter ?Also this Pt was letting her dog sleep with her duirng nightly CCPD. Are their any recommendations about that ?
RESOLVEDzubair,A answered June 28, 2014
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 I am tracking PD related infections and using POET software from Baxter. Do others use any other tracking tools? My other question is regarding counting infections. If an exit site is cultured and treated empirically but no purulent drainage noted, is this considered an exit site infection for tracking purposes (gram stain GPC in pairs, culture large number alpha strep, coryneorm – is this contaminant? Also are there more specific guidelines for counting culture negative peritonitis? Is an elevated cell count and improvement with 3-7 days of antibiotics considered in your count (culture negative)? Is it best to collaborate with local infectious disease group in labeling these infections? Thanks
RESOLVEDJennifer G answered May 7, 2014
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