IDSA Guidelines for Intravascular Catheter-Related Infection • CID 2009:49 (1 July) • 1
I D S A G U I D E L I N E S
Clinical Practice Guidelines for the Diagnosis
and Management of Intravascular Catheter-Related
Infection: 2009 Update by the Infectious Diseases
Society of America
Leonard A. Mermel,1 Michael Allon,2 Emilio Bouza,9 Donald E. Craven,3 Patricia Flynn,4 Naomi P. O’Grady,5
Issam I. Raad,6 Bart J. A. Rijnders,10 Robert J. Sherertz,7 and David K. Warren8
1Division of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, Rhode Island; 2University of Alabama-Birmingham
Hospital, Birmingham, Alabama; 3Tufts University School of Medicine, Lahey Clinic Medical Center, Burlington, Massachusetts; 4St. Jude
Children’s Research Hospital, Children’s Infection Defense Center, Memphis, Tennessee; 5National Institutes of Health, Critical Care Medicine
Department, Bethesda, Maryland; 6Section of Infectious Diseases, University of Texas-Cancer Center, Houston; 7Section of Infectious Diseases,
Wake Forest University School of Medicine, Winston-Salem, North Carolina; 8Division of Infectious Diseases, Washington University School
of Medicine, St Louis, Missouri; 9Servicio de Microbiologı́a Cliı́nica y E. Infecciosas Hospital General “Gregorio Marañón,” Madrid, Spain;
and 10Internal Medicine and Infectious Diseases, Erasmus University Medical Center, Rotterdam, the Netherlands
These updated guidelines replace the previous management guidelines published in 2001. The guidelines are
intended for use by health care providers who care for patients who either have these infections or may be
at risk for them.
EXECUTIVE SUMMARY
Diagnosis: Intravenous Catheter Cultures
General
1. Catheter cultures should be performed when a
catheter is removed for suspected catheter-related
bloodstream infection (CRBSI);
catheter cultures
should not be obtained routinely (A-II).
2. Qualitative broth culture of catheter tips is not
recommended (A-II).
3.
For central venous catheters (CVCs), the catheter
Received 16 Ma