Royer Timothy
VA Puget Sound Health Care System, Seattle, Washington 98108, USA.
J Infus Nurs. 2010 Nov-Dec;33(6):398-406. doi: 10.1097/NAN.0b013e3181f8586b.
The objective of every health care facility is achieving and maintaining a zero central line-associated bloodstream infection (CLABSI) rate. Interventions to enhance care were put into place, and changes in CLABSI rates were tracked. Data were collected from January 2003 through June 2009. The interventions included the following: a dedicated vascular access team; swabbable clear positive displacement needleless connector; chlorhexidine-impregnated disk; flushing with 20 mL of normal saline; rigorous central line care education; increased use of peripherally inserted central catheters; and daily review of necessity. A significant drop to zero CLABSIs occurred after the introduction of several new central line care practices.
每个医疗保健机构的目标都是实现并维持中心静脉导管相关血流感染（CLABSI）率为零。已实施了加强护理的干预措施，并跟踪CLABSI率的变化。数据收集时间为2003年1月至2009年6月。干预措施包括以下内容：一个专门的血管通路团队；可擦拭的透明正压无针连接器；洗必泰浸渍盘；用20毫升生理盐水冲洗；严格的中心静脉导管护理教育；增加外周静脉穿刺中心静脉导管的使用；以及每日必要性审查。在引入几种新的中心静脉导管护理措施后，CLABSI显著降至零。
