Anesthesiology Department, Hospital General Universitario Gregorio Marañón Madrid, Spain; Member of the ESAIC Patient Safety and Quality Committee, Spain; Patient Safety Expert and Coordinator in Madrid for SENSAR (Spanish Anesthesia Incident Reporting System), Spain.
Anesthesiology Department, Hospital General Universitario Gregorio Marañón Madrid, Spain; Medical Simulation Instructor at Hospital Virtual de Valdecilla (Santander) and Institute for Medical Simulation (Boston), Spain; Patient Safety Expert and Vice-president of SENSAR (Spanish Anesthesia Incident Reporting System), Spain.
Best Pract Res Clin Anaesthesiol. 2021 May;35(1):135-140. doi: 10.1016/j.bpa.2020.12.009. Epub 2020 Dec 10.
Guidelines for prevention of catheter-related bloodstream infection (CR-BSI) describe a series of recommendations for correct insertion and handling of central venous catheters (CVCs). Since their implementation, quality programs such as "Zero bacteremia" have achieved a reduction in CR-BSI rates, but there is still room for further improvement. New evidence is emerging regarding, e.g., antiseptic-antimicrobial impregnated catheters or the use of passive disinfection of closed connectors. These examples of new tools among others might help to further decrease infection rates. This article aims to review new evidence-based strategies to reduce catheter insertion-related infection.
预防导管相关血流感染（CR-BSI）指南描述了一系列关于正确插入和处理中心静脉导管（CVC）的建议。自实施以来，“零菌血症”等质量项目已经降低了 CR-BSI 发生率，但仍有进一步改进的空间。新的证据不断涌现，例如，抗菌-防腐剂浸渍导管或使用封闭连接器的被动消毒。这些新工具中的其他例子可能有助于进一步降低感染率。本文旨在综述降低导管插入相关感染的新循证策略。
