PIAC Case Series
Case 02 - Doris, 65 years old
Doris is a 65 who underwent R hemicolectomy and diverting loop ileostomy for cecal tumor with perforation and peritontitis
She received antibiotics for 5 days; she has not tolerated oral/enteral nutrition and has required TPN; post-op day 6 the patient develops T=38.8 and WBC = 15K
The following day 2 of 2 blood cultures are positive for gm + cocci
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?
- Staphylococcus aureus
- Staphylococcus epidermidis (CONS)
- Pseudomonas aeruginosa
- Bacillus species
- Candida albicans