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how do i get someone to write my paper »» nonpharmacologic therapy prevention of infection is key. Handwashing is critical in the prevention of disease transmission. 18,23 it is also important to ensure that patients receive annual influenza vaccines and have had a pneumonia and meningococcal vaccine, and neutropenic patients should avoid individuals with active respiratory infections. 22,23 indwelling catheters are often sources of infection. However, the idsa acknowledges that catheters do not always need to be removed. 14 catheters should be removed in the following circumstances. Established tunnel infection (subcutaneous tunnel or periport infection, septic emboli, hypotension associated with catheter use, or a nonpatent catheter), recurrent infection, or no response to antibiotics within 2 or 3 days. 14 wound debridement should also be performed upon catheter removal.

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