We have a lady on TPN through a PICC who is on her 2nd MRSA infection (last one 3 months ago.) blood culture positive (1 thru PICC and two peripherally. Not Quant). Received an order to pull the PICC, culture tip and begin Vanco peripherally for 10 days before considering another line. Needs TPN for short bowel. she has had a tunneled catheter in the past (pulled for an infection.)
1. Do we have to wait 10 days or just until blood cultures are negative?
2. Should we consider locking her new line with Vanco and what strength?
Jan Hull RN, CRNI
Assistant Manager SDC / Infusion Services
Lebanon Community Hospital
Lebanon, Oregon
541-451-7851
fax 541-451-7520
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