| ICU患者中心静脉导管相关性血流感染的预防 |
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| 引用本文： | 徐文. ICU患者中心静脉导管相关性血流感染的预防[J]. 医学综述, 2011, 17(6): 864-867 |
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| 作者姓名： | 徐文 |
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| 作者单位： | 上海交通大学医学院附属瑞金医院急诊监护室,上海,200025 |
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| 摘 要： | 留置中心静脉导管是ICU中最常用的监测和治疗措施,但其同时存在发生导管相关性血流感染(CRBSI)的风险,从而导致患者住院时间延长和病死率升高。选择锁骨下穿刺径路、使用抗生素导管可减少CRBSI的发生。应用集束化预防措施进行置管及日常护理是预防CRBSI发生的重要措施,包括严格的手卫生、应用2%氯己定和70%乙醇混合液消毒皮肤、最大消毒屏障以及定期更换辅料。定期更换导管及使用抗生素封管对预防CRBSI效果不明确,不作为常规推荐。
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| 关 键 词： | 中心静脉导管 导管相关性血流感染 预防 |
Prevention of Catheter-related Bloodstream Infection in ICU |
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| XU Wen. Prevention of Catheter-related Bloodstream Infection in ICU[J]. Medical Recapitulate, 2011, 17(6): 864-867 |
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| Authors: | XU Wen |
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| Affiliation: | XU Wen,MAO En-qiang,CHEN Er-zhen.(Emergency ICU,Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200025,China) |
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| Abstract: | Central venous catheter(CVC)is one of the most common technique for monitoring and treatment in ICU.But There is a risk of catheter-related bloodstream infection causing prolonged hospital stay and increased mortality.Positioning the CVC through the subclavian vein and using a antibiotic catheter can help to reduce the incidence of CRBSI.A bundle stratige is of a crucial role in CRBSI provention.It should include strict hand hygiene,sterilizing with mixture of 70% ethano and 2% chlorhexidine,maximal sterile... |
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| Keywords: | Central venous catheter Catheter-related bloodstream infection Prophylaxis |
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