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导管相关感染。呼吁达成共识并进行综述与制定指南。

Catheter related infection. A plea for consensus with review and guidelines.

作者信息

Plit M L, Lipman J, Eidelman J, Gavaudan J

机构信息

Department of Medicine, J.G. Strijdom Hospital, Johannesburg, South Africa.

出版信息

Intensive Care Med. 1988;14(5):503-9. doi: 10.1007/BF00263521.

DOI:10.1007/BF00263521
PMID:3065388
Abstract

Although there has been a proliferation of catheter related infection literature there is still little consensus regarding infection statistics and optimal catheter management techniques. This paper analyses the various factors that have contributed to these inconsistencies and thereby attempts to provide a standardised framework for future research and communication on the subject. An attempt has also been made from available data to provide management guidelines that are practicable in the intensive care environment.

摘要

尽管与导管相关的感染文献大量涌现,但在感染统计数据和最佳导管管理技术方面仍未达成多少共识。本文分析了导致这些不一致情况的各种因素,从而试图为该主题的未来研究和交流提供一个标准化框架。还尝试根据现有数据提供在重症监护环境中可行的管理指南。

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Skin versus hub cultures to predict colonization and infection of central venous catheter in intensive care patients.比较皮肤与导管接头处培养对预测重症监护患者中心静脉导管定植和感染的作用
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Infection control and prevention strategies in the ICU.

本文引用的文献

1
Infection of pulmonary artery catheters in critically ill patients.危重症患者肺动脉导管感染
JAMA. 1981 Mar 13;245(10):1032-6.
2
Complications of the flow-directed pulmonary artery catheter: A prospective analysis in 219 patients.
Crit Care Med. 1981 Apr;9(4):315-8. doi: 10.1097/00003246-198104000-00006.
3
Catheter colonization and bacteremia with pulmonary and arterial catheters.导管定植以及肺动脉导管和动脉导管相关菌血症
Crit Care Med. 1982 Nov;10(11):736-9. doi: 10.1097/00003246-198211000-00007.
Intensive Care Med. 1994 Nov;20 Suppl 4:S7-11. doi: 10.1007/BF01713976.
4
Intensive care medicine--a review.重症医学——综述
Postgrad Med J. 1989 Dec;65(770):875-80. doi: 10.1136/pgmj.65.770.875.
5
Laboratory diagnosis of intravascular catheter associated sepsis.
Eur J Clin Microbiol Infect Dis. 1989 Sep;8(9):807-14. doi: 10.1007/BF02185853.
4
Management of central venous catheters using a wire introducer.
Am J Surg. 1981 Dec;142(6):752-5. doi: 10.1016/0002-9610(81)90327-5.
5
Quantitative culture of intravenous catheters and other intravascular inserts.静脉导管及其他血管内植入物的定量培养
J Infect Dis. 1980 Jun;141(6):781-6. doi: 10.1093/infdis/141.6.781.
6
Infections associated with subclavian Uldall catheters.与锁骨下Uldall导管相关的感染
Arch Intern Med. 1983 Jan;143(1):52-6.
7
Incidence of subclavian dialysis catheter-related infections.
Arch Intern Med. 1984 Sep;144(9):1787-9.
8
Risk factors related to bacterial contamination of indwelling vascular catheters in non-infected hosts.
Intensive Care Med. 1984;10(4):193-5. doi: 10.1007/BF00259436.
9
The management of central intravenous catheter infections.中心静脉导管感染的管理
Pediatr Infect Dis. 1984 Mar-Apr;3(2):110-3. doi: 10.1097/00006454-198403000-00005.
10
Comparative culture methods on 101 intravenous catheters. Routine, semiquantitative, and blood cultures.101根静脉导管的比较培养方法。常规培养、半定量培养和血培养。
Arch Intern Med. 1983 Jan;143(1):66-9.