One of our internal medicin physicians has asked if there should be a wait time before inserting a PICC line for treatment of patients with endocarditis. We do not have an infectious disease physician at our facility. Is there a standard for this? It would seem a catch 22...treat through a piv with a caustic medication for how long?...then insert the PICC?
Would appreciate your opinions as to how this is handled in your facilities.
Thank you in advance