Tuesday, August 23, 2011

Emedinews: Dr Good Dr Bad: A dialysis patient was getting recurrent catheter related infections


Situation: A dialysis patient was getting recurrent catheter related infections
Dr Bad: Try heparin lock
Dr Good: Try minocycline-
EDTA lock 
Lesson:  Dialysis patients had significantly fewer catheter-related infections when minocycline - EDTA was used as a catheter-lock solution instead of heparin," according to a study  in the Journal of the American Society of Nephrology. The catheter-related bacteremia rate was one per 1,000 catheter days, a three-fold decrease compared with use of a heparin lock.

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