Hájek R, Burgetová D, Vásová I, Tomíska M
II. interní klinika FN, Brno Bohunice.
Vnitr Lek. 1995 Jun;41(6):421-6.
Central venous access devices are a major source of nosocomial infection. The skin and catheter hub are the two major sources for the introduction of the colonizing organisms. Staphylococci are the leading causative agents. The authors reviews classification of catheter-related infection complications, diagnostic problems of catheter sepsis and up-to-date trends in their treatment. Diagnosis of catheter-related sepsis remains still difficult, if device is not removed. Candida catheter related is associated with higher morbidity and mortality than infections with other organisms and the device should be removed if possible. Prophylactic measures include especially a skilled team, maximal barrier precautions during insertion.
中心静脉通路装置是医院感染的主要来源。皮肤和导管接头是定植菌侵入的两个主要来源。葡萄球菌是主要的致病因子。作者综述了导管相关感染并发症的分类、导管败血症的诊断问题及其最新治疗趋势。如果不拔除装置，导管相关败血症的诊断仍然困难。念珠菌导管相关感染比其他微生物感染的发病率和死亡率更高，如有可能应拔除装置。预防措施尤其包括一支技术熟练的团队，以及在插入过程中采取最大程度的屏障预防措施。
