Lebeaux David, Joly Dominique, Zahar Jean-Ralph
Rev Prat. 2014 May;64(5):626-33.
Long-term intravenous catheters (LTIVC) are standard practice for patients with chronic diseases such as cancer, digestive disease requiring total parenteral nutrition or end-stage renal disease. Even if they greatly improved patients' care, the use of LTIVC is also associated with microbial contamination and subsequent infection. These catheter-related infections are associated with morbidity, mortality and increased health-care costs. As patients carrying these LTIVC stay at home for their treatment (home parenteral nutrition for instance) or between cycles of treatment (antineoplastic chemotherapy or dialysis), it is mandatory that general practitioner and nurses are aware of recent data on the epidemiology, diagnosis and treatment of LTIVC-related infections.
长期静脉导管(LTIVC)是癌症、需要全胃肠外营养的消化系统疾病或终末期肾病等慢性病患者的标准治疗手段。尽管长期静脉导管极大地改善了患者护理,但使用该导管也与微生物污染及随后的感染有关。这些与导管相关的感染会导致发病、死亡,并增加医疗成本。由于携带这些长期静脉导管的患者在家接受治疗(例如家庭肠外营养)或在治疗周期之间(抗肿瘤化疗或透析),全科医生和护士必须了解有关长期静脉导管相关感染的流行病学、诊断和治疗的最新数据。