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Kartei Details

Karten 17
Sprache Deutsch
Kategorie Medizin
Stufe Universität
Erstellt / Aktualisiert 26.09.2014 / 31.07.2017
Lizenzierung Keine Angabe
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Ab wann relevante Canidiämie?

Welche möglichen Quellen? 4

Mindestens zwei Quellen inkl. Sputum und Urin

im Urin >105 Kolonien

Candida endophthalmitis, oesophagitis, suppurative thrombophlebitis or wound infections/peritonitis ('open abdomen') may be the source of invasive Candida infections

DD's für nichtinfektiöses Fieber: 17

  • Pulmonary aspiration
  • Postoperative fever (<48h)
  • Trauma/haematoma
  • Thromboembolism
  • Gastrointestinal bleeding
  • Drug-induced fever
  • Febrile non-haemolytic red cell and platelet transfusion reactions
  • Alcohol withdrawal
  • Neuroleptic malignant syndrome
  • Cerebral disease, including subarachnoid haemorrhage
  • Gout
  • Transplant rejection
  • Neoplasia, including lymphoma
  • Haematoma
  • Myocardial infarction
  • Addisonian crisis, acute adrenocortical insufficiency
  • Acute pancreatitis

welcher Score zur Wahrscheinlichkeit einer VAP?

Clinical pulmonary infection score

welcher Score zur Wahrscheinlichkeit einer VAP?

Clinical pulmonary infection score

Diagnose-Kriterien für VAP ? 3 (für invasive Techniken)

I    Three or more of the following:
a) Rectal temperature >38.0 °C or <35.5 °C
b) Leukocytes (<10.0 x 109 /L) and/or left shift or leukopoenia (<3.0 x 109/L)
c) >10 leukocytes per high power field in Gram stain of tracheal aspirate 
d) Positive (qualitative) culture of tracheal aspirate 

II    New, persistent or progressive infiltrate on chest radiograph

III    One or more of the following
a) Positive quantitative culture of bronchoalveolar lavage fluid (>104cfu/mL) or PSB (>103 cfu/L) or >5% of leukocytes containing phagocytosed bacteria.
b) Positive blood culture with the same micro-organism as that present in the airway
c) Positive culture of pleural fluid

Wann steigt Wahrscheinlichkeit für katheterassoziierte Infektion? 4

  • There is fever or a positive blood culture in the absence of another evident source of infection
  • The CVC dwell time exceeds 3 days
  • Fever abates after catheter removal
  • There are signs of local (exit-site) infection.

Def. Exit-site catheter infection?

Exit-site catheter infection is defined as the presence of positive quantitative catheter culture in the presence of symptoms of local infection (erythema, tenderness, induration, or purulence), in the absence of other foci.

Def. Catheter-related blood stream infection (CRBSI) ?

Catheter-related blood stream infection (CRBSI) is diagnosed when the same organism is isolated (at higher concentrations – see below) on quantitative culture of the distal catheter segment and from the blood of a patient with clinical symptoms of local or systemic infection and no other source of infection evident.