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IDS FELLOWS’ WEEKLY EXAM

IDSA CRBSI Guidelines


June 23, 2022

Name: __________________________________________________ Signature: _________________________ Year Level: ____

1. Which of the following statements regarding catheter culture 6. Long-term catheters should be removed from patients with
is false? CRBSI associated with which of the following conditions?
A. Catheter cultures should be obtained routinely. Select all that apply.
B. Qualitative broth culture of catheter tips is not I. severe sepsis
recommended. II. suppurative thrombophlebitis
C. Growth of >102 cfu from a catheter by quantitative III. endocarditis
broth culture reflects catheter colonization. IV. bloodstream infection that continues despite >72 h of
D. When catheter infection is suspected and there is a antimicrobial therapy to which the infecting microbes
catheter exit site exudate, swab the drainage to collect are susceptible
specimens for culture and Gram staining. A. All
E. All of the above B. All except I
C. All except IV
2. A definitive diagnosis of CRBSI requires which of the D. II and III only
following?
A. Same organism grows from at least one percutaneous 7. Long-term catheters should be removed from patients with
blood culture and from a culture of the catheter tip. CRBSI associated with infections due to which of the
B. Two blood samples be drawn (one from a catheter hub following organisms? Select all that apply.
and the other from a peripheral vein) that, when I. S. aureus
cultured, meet CRBSI criteria for quantitative blood II. Gram negative bacilli
cultures or DTP III. P. aeruginosa
C. Two quantitative blood cultures of samples obtained IV. Fungi
through 2 catheter lumens in which the colony count for V. Mycobacteria
the blood sample drawn through one lumen is at least 3- VI. Enterococcus
fold greater than the colony count for the blood sample A. All
obtained from the second lumen B. All except II
D. All of the above C. All except II and VI
D. I and IV only
3. In addition to coverage for gram-positive pathogens,
empirical therapy for suspected CRBSI involving femoral 8. Short-term catheters should be removed from patients with
catheters in critically ill patients should include coverage for: CRBSI associated with infections due to which of the
A. Gram-negative bacilli following organisms? Select all that apply.
B. Candida species I. S. aureus
C. Neisseria organisms II. Enterococci
D. A and B III. Gram negative bacilli
E. All of the above IV. Fungi
V. Mycobacteria
4. Empirical therapy for suspected catheter-related candidemia VI. Bacillus
should be used for septic patients with which of the following A. All
risk factors? Select all that apply. B. All except II
I. total parenteral nutrition C. All except VI
II. prolonged use of broad-spectrum antibiotics D. All except II and VI
III. hematologic malignancy
IV. receipt of bone marrow or solid-organ transplant
V. femoral catheterization
VI. colonization due to Candida species at multiple sites
A. All
B. All except V
C. I, II, and VI only
D. I and VI only

5. In adult patients with CRBSI who are found to have


osteomyelitis, how long should the antibiotics be given?
A. 2-3 weeks
B. 4-6 weeks
C. 6-8 weeks
D. 8-12 weeks

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