Dryden M S, Ludlam H A, Wing A J, Phillips I
Department of Microbiology, UMDS, St Thomas' Hospital London, UK.
Adv Perit Dial. 1991;7:125-8.
In 1987 a preventive programme was initiated to address the problem of high hospital and community-acquired CAPD infection. It concentrated on reducing Staphylococcus aureus carriage, improving aseptic operative technique, intensive training for nursing staff and patients in stringent aseptic care of the exit site, and avoidance of contact of the exit site with unsterile water. This programme was associated with an overall 10-fold reduction in exit site infection, a 2-fold reduction in peritonitis, and a 4.5-fold reduction in catheter loss from infection. These reductions have been sustained. Preventing infection in CAPD patients requires persistence and commitment but improves the patient's quality of life and reduces the cost of treatment.
1987年启动了一项预防计划，以解决医院获得性和社区获得性持续性非卧床腹膜透析（CAPD）感染率高的问题。该计划着重于减少金黄色葡萄球菌携带，改进无菌手术技术，对护理人员和患者进行严格出口部位无菌护理的强化培训，以及避免出口部位与未消毒水接触。该计划使出口部位感染总体减少了10倍，腹膜炎减少了2倍，因感染导致的导管丢失减少了4.5倍。这些降幅一直保持。预防CAPD患者感染需要坚持不懈和坚定决心，但能提高患者生活质量并降低治疗成本。
