预防血管内导管相关血流感染的新技术。
New technologies to prevent intravascular catheter-related bloodstream infections.
作者信息
Mermel L A
机构信息
Brown University School of Medicine and Rhode Island Hospital, Providence, Rhode Island, USA.
出版信息
Emerg Infect Dis. 2001 Mar-Apr;7(2):197-9. doi: 10.3201/eid0702.010208.
Abstract
Most intravascular catheter-related infections are associated with central venous catheters. Technologic advances shown to reduce the risk for these infections include a catheter hub containing an iodinated alcohol solution, short-term chlorhexidine-silver sulfadiazine- impregnated catheters, minocycline-rifampin-impregnated catheters, and chlorhexidine- impregnated sponge dressings. Nontechnologic strategies for reducing risk include maximal barrier precautions during catheter insertion, specialized nursing teams, continuing quality improvement programs, and tunneling of short-term internal jugular catheters.
摘要
大多数血管内导管相关感染与中心静脉导管有关。已证明可降低这些感染风险的技术进步包括带有含碘酒精溶液的导管接头、短期氯己定 - 磺胺嘧啶银浸渍导管、米诺环素 - 利福平浸渍导管以及氯己定浸渍海绵敷料。降低风险的非技术策略包括在导管插入过程中采取最大程度的屏障预防措施、专业护理团队、持续质量改进计划以及短期颈内静脉导管的隧道式置入。
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