Miller-Hoover Suzan
Cardon Children's Medical Center, Mesa, Arizona 85202, USA.
J Infus Nurs. 2011 Jan-Feb;34(1):36-48. doi: 10.1097/NAN.0b013e31820233d0.
Central vascular catheters are an integral part of caring for a pediatric intensive care patient, providing hemodynamic monitoring capabilities, reliable vascular access for hydration, medication administration, and blood sampling. However, central vascular catheters put the patient at risk for central line-associated bloodstream infections (CLABSIs). In 2010, the Centers for Medicare & Medicaid Services added CLABSI to the list of "never events." This article discusses the measures one hospital implemented to reduce the CLABSI rate, and the research that supports this evidence-based practice.
中心静脉导管是儿科重症监护患者护理的一个重要组成部分，它提供血流动力学监测功能、可靠的血管通路用于补液、给药和采血。然而，中心静脉导管会使患者面临中心静脉导管相关血流感染（CLABSI）的风险。2010年，医疗保险和医疗补助服务中心将CLABSI列入“绝不允许发生的事件”清单。本文讨论了一家医院为降低CLABSI发生率而采取的措施，以及支持这种循证实践的研究。
