Editor s note: Reno Gazette Journal Executive Editor Brian Duggan is married to CHA spokeswoman Megan Duggan, who is included in this article. Brian Duggan did not edit or consult on this article. Investigations Editor Anjeanette Damon led the editing process.
With the demand for COVID-19 vaccines dwarfing the supply of doses coming to the state, Gov. Steve Sisolak’s administration released a detailed playbook directing that shots go first to those who need them most. As state and local agencies work feverishly to vaccinate Nevadans, however, it turns out that no one is actually monitoring whether that same playbook is being followed.
University of New Mexico
VA Sierra Nevada Health Care System
A few key topics on the agenda included a review of the pathogens encountered to date, the benefits of Mino-Lok for a CLABSI patient with a mucosal barrier injury, the frequency of unnecessary removal of non-colonized CVCs in suspected CLABSI patients with bacteremia, how to handle patients with multiple catheters (case history), and the path forward for study completion. Currently, the primary treatment for patients who become bacteremic because of the central lines being infected is to treat the patient aggressively with culture-directed antibiotics and to remove the central line which is believed to be the source of the infection and replaced when the patient s status improves. Patients and physicians need an effective and less invasive alternative to catheter exchange which utilizes much of the same set of resources needed to treat Covid-19 patients, especially in the ICU. We have been fortunate to be able to perse