[PAGID] Ethanol lock for CVL

[Kobrynski, Lisa]

We have used ethanol locks for short term prevention/treatment of line infections in 2 patients who had indwelling lines.  It was well tolerated.  The only concern was that the lines tend to clot if it is not changed out frequently.  For double lumen lines we were alternating the use of each lumen so that the ethanol was changed out every other day.

Lisa Kobrynski, MD, MPH
Associate Professor of Pediatrics
Section, Allergy/Immunology
________________________________
From: pagid-bounces at list.clinimmsoc.org [pagid-bounces at list.clinimmsoc.org] On Behalf Of Christine Seroogy [cmseroogy at pediatrics.wisc.edu]
Sent: Tuesday, January 26, 2010 11:22 AM
To: pagid at list.clinimmsoc.org
Subject: [PAGID] Ethanol lock for CVL

Dear Colleagues,

I am caring for a 6y/o CGD patient with aspergillus pna/meningitis and am seeking input on preserving his central venous line.

He has not had a line infection.  We are considering ethanol lock for line care.  Our institution has used this approach on several patients and there are several ongoing clinical trials.

I am wondering if any of you have experience using this approach and if there have been any problems?

Thank you,

Chris


--
Christine M. Seroogy MD, FAAP, FAAAAI
Assistant Professor
University of Wisconsin
Department of Pediatrics
Division of Allergy, Immunology & Rheumatology
1111 Highland Avenue
4139 WIMR
Madison, WI  53705-2275
phone: 608-263-2652
fax: 608-265-9721



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