Section of Critical Care Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
Crit Care Clin. 2013 Oct;29(4):989-1015. doi: 10.1016/j.ccc.2013.07.002.
This article focuses on the pathogenesis, diagnosis, prevention, and management of infectious complications of intravascular cannulation and fluid infusion. Although continuous vascular access is one of the most essential modalities in modern-day medicine, there is a substantial and underappreciated potential for producing iatrogenic complications, the most important of which is blood-borne infection. Clinicians often fail to consider the diagnosis of infusion-related sepsis because clinical signs and symptoms are indistinguishable from bloodstream infections arising from other sites. Understanding and consideration of the risk factors predisposing patients to infusion-related infections may guide the development and implementation of control measures for prevention.
本文重点介绍血管内插管和输液相关感染并发症的发病机制、诊断、预防和处理。虽然持续血管通路是现代医学中最基本的治疗手段之一,但也存在着产生医源性并发症的巨大且被低估的风险,其中最重要的是血源性感染。临床医生常常忽略对输液相关败血症的诊断,因为其临床症状和体征与其他部位血流感染无法区分。了解和考虑使患者易发生输液相关感染的危险因素,可能有助于指导制定和实施预防控制措施。