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一项降低儿科患者血液透析导管感染率的持续质量改进项目:使用封闭式鲁尔锁接入帽。

A continuous quality improvement project to decrease hemodialysis catheter infections in pediatric patients: use of a closed luer-lock access cap.

作者信息

McAfee Nancy, Seidel Kristy, Watkins Sandra, Flynn Joseph T

机构信息

Seattle Children's Hospital, Seattle, WA, USA.

出版信息

Nephrol Nurs J. 2010 Sep-Oct;37(5):541-4; quiz 545.

PMID:20973308
Abstract

Catheter infections are a significant problem in pediatric hemodialysis. To reduce infection rates, the use of closed luer-lock access connectors, which create a mechanically and microbiogically closed system while allowing unobstructed blood flow, was implemented Infection rates fell from 7.8 infections per 1000 patient days to 3.65 infections per 1000 patient days after the switch to the closed connector (t = 0.04). The adoption of a closed connector system appeared to produce a significant reduction in bloodstream infections.

摘要

导管感染是儿科血液透析中的一个重大问题。为降低感染率,采用了密闭鲁尔锁接入连接器,该连接器在保证血流畅通的同时创建了一个机械和微生物学上的封闭系统。改用密闭连接器后,感染率从每1000个患者日7.8次感染降至每1000个患者日3.65次感染(t = 0.04)。采用密闭连接器系统似乎能显著降低血流感染率。

相似文献

1
A continuous quality improvement project to decrease hemodialysis catheter infections in pediatric patients: use of a closed luer-lock access cap.一项降低儿科患者血液透析导管感染率的持续质量改进项目:使用封闭式鲁尔锁接入帽。
Nephrol Nurs J. 2010 Sep-Oct;37(5):541-4; quiz 545.
2
How much is catheter flow influenced by the use of closed luer lock access devices?使用密闭鲁尔锁接入装置对导管流量有多大影响?
Nephrol Dial Transplant. 2007 Oct;22(10):3061-4. doi: 10.1093/ndt/gfm314. Epub 2007 Jun 27.
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Prevention of hemodialysis central line-associated bloodstream infections in acutely ill individuals.急性病患者血液透析中心静脉导管相关血流感染的预防
Nephrol Nurs J. 2010 Sep-Oct;37(5):523-8; quiz 529.
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Systematic intervention to reduce central line-associated bloodstream infection rates in a pediatric cardiac intensive care unit.在儿科心脏重症监护病房中降低中心静脉导管相关血流感染率的系统性干预措施。
Pediatrics. 2008 May;121(5):915-23. doi: 10.1542/peds.2007-1577.
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A practical review of the kidney dialysis outcomes quality initiative (KDOQI) guidelines for hemodialysis catheters and their potential impact on patient care.血液透析导管的肾脏透析预后质量倡议(KDOQI)指南实用综述及其对患者护理的潜在影响。
Nephrol Nurs J. 2010 Sep-Oct;37(5):531-5; quiz 536.
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Tunneled catheter-antibiotic lock therapy for prevention of dialysis catheter-related infections: a single center experience.隧道式导管抗生素封管疗法预防透析导管相关感染:单中心经验
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Tunneled internal jugular catheters in adult patients: comparison of outcomes in hemodialysis versus infusion catheters.成年患者的带隧道式颈内静脉导管:血液透析导管与输液导管的结局比较
Acta Radiol. 2007 Jul;48(6):613-9. doi: 10.1080/02841850701342104.
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Do central venous catheters have advantages over arteriovenous fistulas or grafts?中心静脉导管比动静脉内瘘或移植物有优势吗?
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Risk of infection due to medical interventions via central venous catheters or implantable venous access port systems at the middle port of a three-way cock: luer lock cap vs. luer access split septum system (Q-Syte).三通阀中部端口经中心静脉导管或植入式静脉输液港系统进行医疗介入时,发生感染的风险:鲁尔锁帽与鲁尔直通分离式隔膜系统(Q-Syte)的比较。
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Do Needle-Free Connectors Prevent Catheter-Related Bloodstream Infections in Patients Receiving Hemodialysis Treatments Using Central Venous Catheters?
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Int J Nephrol Renovasc Dis. 2014 Apr 3;7:131-9. doi: 10.2147/IJNRD.S59937. eCollection 2014.