Case 02 - David 4 Years Old | PIAC Series
UnityPoint Health - Des Moines

PIAC Case Series

Case 02 - David, 4 Years Old

David is a 4 year old with developmental delay who required abdominal surgery for volvulus.

  • He has not tolerated oral/enteral nutrition and has received TPN. On post-op day 6 he develops T=38.8 and WBC=15K
  • The following day 2 of 2 blood cultures are positive for gm + cocci

Questions

1) How is a central-line associated bloodstream infection (CLA-BSI) diagnosed?

2) What organisms in blood culture are possible contaminants? Which organisms should definitely not be considered contaminants?

Consider:
- Staphylococcus aureus
- Staphylococcus epidermidis (CONS)
- Pseudomonas aeruginosa
- Bacillus species
- Candida albicans
- Diphtheroids

3) What measures are undertaken to prevent CLA-BSI?

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