RESUMO
Un varón de 53 años de edad ingresado por rachas de taquicardia ventricular sostenida y sometido a cardioversión eléctrica, portador de una vía venosa central femoral derecha, comienza con picos febriles, y en los hemocultivos se aísla Staphylococcus epidermidis. ¿Qué valor tiene el aislamiento, en los hemocultivos, de S. epidermidis, un microorganismo que forma parte de la flora habitual de la piel y mucosas del paciente? ¿Cómo debe manejarse esta situación? ¿Deben administrarse antimicrobianos? ¿Cuáles? ¿Durante cuánto tiempo?(AU)
A 53-year old male admitted for episodes of sustained ventricular tachycardia subjected to electrical cardioversion, carrier of a right femoral central venous catheter, began with febrile peaks, and Staphylococcus epidermidis was isolated in the blood cultures. What is the value of isolation in the blood cultures of S. epidermidis, a microorganism that forms a part of the usual flora of the skin and mucous of the patient? How should this situation be managed? Should an antimicrobial agent be administered? Which one? For how long?(AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , 24966/métodos , Febre/complicações , Febre/etiologia , Staphylococcus epidermidis/isolamento & purificação , Staphylococcus epidermidis/metabolismo , Staphylococcus epidermidis/patogenicidade , Bacteriemia/complicações , Bacteriemia/diagnóstico , Ablação por Cateter/métodos , Testes de Sensibilidade Microbiana , Microbiologia/tendências , 24966/políticas , Técnicas Microbiológicas , Cardioversão Elétrica , Staphylococcus epidermidis , Bacteriemia/microbiologia , Leucocitose/complicaçõesRESUMO
A 53-year old male admitted for episodes of sustained ventricular tachycardia subjected to electrical cardioversion, carrier of a right femoral central venous catheter, began with febrile peaks, and Staphylococcus epidermidis was isolated in the blood cultures. What is the value of isolation in the blood cultures of S. epidermidis, a microorganism that forms a part of the usual flora of the skin and mucous of the patient? How should this situation be managed? Should an antimicrobial agent be administered? Which one? For how long?
