Clinical features of intravascular line-related sepsis.1
| Nonspecific . | Highly Suggestive of Line-Related Etiology . |
|---|---|
| Fever | Source of sepsis inapparent |
| Chills, shaking rigors | Patient unlikely candidate for sepsis |
| Hypotension, shock | Intravascular line in place (or recently placed) |
| Hyperventilation | Inflammation or purulence at insertion site |
| Gastrointestinal | Abrupt onset, associated with shock |
| Abdominal pain | Sepsis refractory to antimicrobial therapy or dramatic improvement with serendipitous removal of device and infusion |
| Vomiting | |
| Diarrhea | |
| Neurologic | Cryptogenic bloodstream infection with: |
| Confusion | Staphylococcus aureus |
| Seizures | Coagulase-negative Staphylococcus |
| Corynebacterium spp. | |
| Bacillus spp. | |
| Candida spp. | |
| Malassezia spp. |
| Nonspecific . | Highly Suggestive of Line-Related Etiology . |
|---|---|
| Fever | Source of sepsis inapparent |
| Chills, shaking rigors | Patient unlikely candidate for sepsis |
| Hypotension, shock | Intravascular line in place (or recently placed) |
| Hyperventilation | Inflammation or purulence at insertion site |
| Gastrointestinal | Abrupt onset, associated with shock |
| Abdominal pain | Sepsis refractory to antimicrobial therapy or dramatic improvement with serendipitous removal of device and infusion |
| Vomiting | |
| Diarrhea | |
| Neurologic | Cryptogenic bloodstream infection with: |
| Confusion | Staphylococcus aureus |
| Seizures | Coagulase-negative Staphylococcus |
| Corynebacterium spp. | |
| Bacillus spp. | |
| Candida spp. | |
| Malassezia spp. |