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Prevention of CLABSI in the NICU

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Table 4. Examples of Antimicrobial Locks Antimicrobial Lock Therapy Vial Concentration Vol. 1 mL Vol. 2 mL Vol. 3 mL Vol. 5 mL Final Concentration Stability Vancomycin Vancomycin, 50 mg/mL vial 0.2 0.4 0.6 1.0 10 mg/mL 7 days refrigerated 0.9% normal saline (NS) 0.8 1.6 2.4 4.4 Vancomycin, 5 mg/mL solution (dilute with NS) 0.5 1.0 1.5 2.5 2.5 mg/mL Heparin, 100 units/mL 0.5 1.0 1.5 2.5 50 units/mL Gentamicin Gentamicin, 10 mg/mL vial 0.5 1.0 1.5 2.5 5 mg/mL 7 days refrigerated 0.9% NS 0.5 1.0 1.5 2.5 Ceazidime Ceftazidime, 100 mg/mL vial 0.1 0.2 0.3 0.5 10 mg/mL 7 days refrigerated Heparin, 100 units/mL 0.5 1.0 1.5 2.5 50 units/mL 0.9% NS 0.4 0.8 1.2 2.0 — Amphotericin B a Amphotericin B, 5 mg/mL vial 0.5 1.0 1.5 2.5 2.5 mg/mL 7 days refrigerated Heparin, 100 units/mL 0.5 1.0 1.5 2.5 50 units/mL a Rarely used since removal of catheter is recommended in the setting of fungemia. Management

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