Bell Taison, O'Grady Naomi P
Critical Care Medicine Department, National Institutes of Health, 10 Center Drive, Room 2C145, Bethesda, MD 20892-1662, USA.
Critical Care Medicine Department, National Institutes of Health, 10 Center Drive, Room 2C145, Bethesda, MD 20892-1662, USA.
Infect Dis Clin North Am. 2017 Sep;31(3):551-559. doi: 10.1016/j.idc.2017.05.007. Epub 2017 Jul 5.
Central venous catheters (CVCs) are commonly used in critically ill patients and offer several advantages to peripheral intravenous access. However, indwelling CVCs have the potential to lead to bloodstream infections, with the risk increasing with an array of characteristics, such as catheter choice, catheter location, insertion technique, and catheter maintenance. Evidence-based guidelines have led to a significant reduction in the incidence of bloodstream infections associated with CVCs. The combination of guideline implementation and newer technologies has the potential to further reduce morbidity and mortality from infections related to CVCs.
中心静脉导管(CVCs)常用于重症患者,相较于外周静脉通路具有若干优势。然而,留置CVCs有可能导致血流感染,其风险会因一系列因素而增加,如导管选择、导管位置、插入技术及导管维护等。循证指南已使与CVCs相关的血流感染发生率显著降低。指南实施与新技术相结合有可能进一步降低CVCs相关感染所致的发病率和死亡率。