What is your protocol for removal of PICC lines?
Do you send tip off to be cultured?
Sep 30, '99
We culture PICC line tips only in cases of suspected line infection, phlebitis, fever, etc. A routine d/c of a PICC line because therapy is completed is not cultured.
Oct 18, '06
only in cases of suspected line sepsis.
Feb 23, '07
Does anyone have a step by step protocol for PICC line removal?
Mar 1, '07
Tips are not routinely cultured and if we do send a cath segment we send the portion that was in the subcutaneous plus a few cm's. Cath tip cultures are over-ordered and rarely relevant,even in "line sepsis" situations. Cultures from the line itself,with concommitant peripheral cultures will tell you much more. Do a search using "time to positivity" and you should find a few references.
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