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Updated: Jun 2, 2026

The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
[Fever in a patient with a central vein catheter]
J A Capdevilla Morell1, M Mauri, M Delgado
1Servicio de Medicina Interna, Hospital de Mataró, Mataró, Barcelona, España. jcapdevila@csdm.cat
Abstract:
A 75-year old male, operated on three weeks earlier due to descending colon cancer and reoperated 9 days later due to suture dehiscence, began with fever without clinical focality suggestive of surgical bed infection. The patient has a bilumen catheter in the right jugular vein, through which he receives different medications and parenteral nutrition. How can catheter-related infection be diagnosed? What should be done with the catheter? When and which antibiotics are appropriate to begin treatment? What risk factors for resistant bacteria should be considered? How should S. aureus bacteraemia be treated? Is it possible to reduce the rates of catheter-related infection? These and other questions are answered in this article and a working algorithm is presented.
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