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中心静脉导管相关感染的预防:除了含抗菌剂或涂层的导管外,还有哪些方法有效?

Prevention of central venous catheter-related infections: what works other than impregnated or coated catheters?

作者信息

Mermel Leonard A

机构信息

Division of Infectious Diseases, Department of Medicine, Rhode Island Hospital, RI 028903, USA.

出版信息

J Hosp Infect. 2007 Jun;65 Suppl 2:30-3. doi: 10.1016/S0195-6701(07)60011-5.

DOI:10.1016/S0195-6701(07)60011-5
PMID:17540238
Abstract

Catheter-related bloodstream infections (CRBSI) are a significant cause of morbidity and excess hospital cost. Data from prospective, randomized trials demonstrate that the risk of these infections can be minimized by simple interventions. Changing the behaviour of healthcare workers who insert and care for intravascular catheters is imperative. Creating a culture of patient safety and assuring easy access to the products necessary to maintain strict asepsis during catheter insertion, dressing changes, and when manipulating catheter hubs, will enhance adherence to optimal practice and will reduce the risk posed to the millions of patients in need of such devices.

摘要

导管相关血流感染(CRBSI)是发病和医院额外费用的重要原因。前瞻性随机试验的数据表明,通过简单的干预措施可将这些感染的风险降至最低。改变插入和护理血管内导管的医护人员的行为势在必行。营造患者安全文化,并确保在导管插入、更换敷料以及操作导管接头时能够方便地获取维持严格无菌所需的产品,将提高对最佳实践的依从性,并降低数百万需要此类装置的患者所面临的风险。

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