Central venous access device related sepsis e.g. PICC line or central line

Micro-organism

Staph. aureus

Coagulase negative staphylocci (CONs)

Coliforms (GNBs)

Pseudomonads

First Line

Vancomycin IV + gentamicin IV

1. See individual treatment protocols on ward - ensure vancomcyin added if not part of protocol- contact specialist centre for further advice

2. If neutropenic, follow neutropenic sepsis guidance BUT add vancomycin IV

3. If patient receiving parenteral nutrition - consider antifungal treatment - discuss with microbiology