Endocarditis Case Study

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TITLE: PERIPHERAL INTRAVENOUS CATHETER SITE INFECTION PRESENTING AS ENDOCARDITIS- A PREVENTABLE COMPLICATION
Abstract:
Nosocomial infections pose a global safety concern for hospitalized individuals as well as health care providers. About 10 to 30% of patients acquire nosocomial infection according to Hospital Infection Society, India. Common hospital-acquired infections are respiratory, urinary tract, surgical wound infections and infections associated with intravascular catheters. We discuss here a case of a 35-year-old woman who had an intravenous cannula inserted at her right wrist at the time of her laparoscopic cholecystectomy. She developed fever along with redness and tenderness at the catheter insertion site on 4th postoperative day. Further investigations revealed cannula site infection by methicillin-sensitive Staphylococcus aureus (MSSA) which later spread to cause endocarditis, due to poor treatment adherence. The main purpose of this case report is to highlight the importance of emerging serious threat of nosocomial catheter related infections, that they can complicate even a simple routine procedure like peripheral intravenous catheter (PIVC) insertion leading to
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Endocarditis or septic thrombophlebitis should be suspected if blood cultures remain positive for more than 48 hours after the device has been removed (Hovarth R et al., 2003). As per the Infectious Disease Society of America (IDSA) guidelines, Trans Esophageal Echocardigraphy (TEE) should be done for patients with CRBSI who have persistent bacteremia or fungemia and/or fever 13 days after initiation of appropriate antibiotic therapy and catheter removal; and any case of S. aureus CRBSI in which duration of therapy less than 4–6

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