癌症患者家庭肠外营养中导管相关感染预防策略的证据总结
Evidence summary of prevention strategies for catheter-related infections among cancer patients with home parenteral nutrition.
作者信息
Zhong Yu, Chen Xiaoqin, He Shuai, Zhang Ping, Zeng Yingchun
机构信息
Department of Nursing, Hangzhou Lin'an Traditional Chinese Medicine Hospital, Affiliated Hospital, Hangzhou City University, Hangzhou, China.
Department of Respiratory Medicine, Hangzhou Lin'an Traditional Chinese Medicine Hospital, Affiliated Hospital, Hangzhou City University, Hangzhou, China.
出版信息
Asia Pac J Oncol Nurs. 2024 Aug 10;11(10):100570. doi: 10.1016/j.apjon.2024.100570. eCollection 2024 Oct.
OBJECTIVE
To provide a comprehensive summary of evidence on prevention strategies for catheter-related infections among cancer patients with home parenteral nutrition.
METHODS
A systematic literature search was conducted for identifying prevention strategies for catheter-related infections among cancer patients with home parenteral nutrition, including clinical decisions, guidelines, best practices, expert consensus, evidence summaries, and systematic reviews. The search period includes publications from January 2000 to April 2024.
RESULTS
Seven articles were included in the review, comprising four guidelines, one expert consensus, and two systematic reviews. This resulted in the identification of five evidence themes and 33 best evidence statements, addressing safety and monitoring, team and education training, hand hygiene and aseptic techniques, catheter and exit site selection, and catheter care and protection.
CONCLUSIONS
This evidence summary identifies the prevention of catheter-related infections in home parenteral nutrition, and offers valuable resources for clinical application and guidance for preventing infections among cancer patients receiving home parenteral nutrition.
目的
全面总结家庭肠外营养癌症患者导管相关感染预防策略的证据。
方法
进行系统的文献检索，以确定家庭肠外营养癌症患者导管相关感染的预防策略，包括临床决策、指南、最佳实践、专家共识、证据总结和系统评价。检索期包括2000年1月至2024年4月的出版物。
结果
该综述纳入了7篇文章，包括4篇指南、1篇专家共识和2篇系统评价。由此确定了5个证据主题和33条最佳证据陈述，涉及安全与监测、团队与教育培训、手卫生与无菌技术、导管与出口部位选择以及导管护理与保护。
结论
本证据总结确定了家庭肠外营养中导管相关感染的预防方法，并为临床应用提供了宝贵资源，为接受家庭肠外营养的癌症患者预防感染提供了指导。
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