Consult Infectious Diseases
Repeat 2 sets blood cultures q48hrs until negative
Identify source of infection & potential metastatic complications.
Consider; any indwelling medical device, skin and soft tissue infection, endocarditis, septic thrombophlebitis, osteomyelitis, septic arthritis, epidural abscess, pneumonia.
Remove temporary intravascular catheters present at the time the bacteremia was found and send tip for culture
If suspected to be the source, consult as appropriate for advice and/or consideration of removal of permanent vices.
Example: tunnelled lines, pacemakers, valves, graphs, prosthetic joints or other prosthetic material.
Reviewed September 2017