08-28-2009, 04:08 AM
A hospitalized 22-year-old woman with acute myelogenous leukemia undergoes evaluation prior to discharge. She has received induction chemotherapy and transfusions via a subcutaneous central venous catheter for the past 4 weeks. Two days ago, results of a complete blood count and bone marrow biopsy showed no abnormalities. Examination shows well-healed skin over the catheter. The remainder of the examination shows no abnormalities. The physician reviews the patient's discharge plan with her and her parents. Which of the following is the most appropriate recommendation to avoid complications related to the catheter?
a) Avoiding bathing in a shower or bathtub
b) Hand washing with an antibacterial soap prior to contact with the catheter
c) Topical application of mupirocin at the site of access
d) Oral penicillin therapy
a) Avoiding bathing in a shower or bathtub
b) Hand washing with an antibacterial soap prior to contact with the catheter
c) Topical application of mupirocin at the site of access
d) Oral penicillin therapy