Summary of best evidence for the prevention and management of central line associated blood stream infection of children in Pediatric Intensive Care Units
10.3760/cma.j.cn115682-20230424-01612
- VernacularTitle:儿科重症监护病房患儿中心静脉血管通路相关血流感染预防与管理的最佳证据总结
- Author:
Jie CAO
1
;
Pei GAO
;
Huohong QIAN
;
Linfang GUO
Author Information
1. 海军军医大学附属长海医院泌尿外科，上海 200433
- Keywords:
Infections;
Central line associated blood stream infection;
Intensive Care Units, Pediatric;
Best evidence summary
- From:
Chinese Journal of Modern Nursing
2023;29(24):3326-3333
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and summarize the evidence on the prevention and management of central line associated blood stream infection (CLABSI) in children in Pediatric Intensive Care Unit (PICU) .Methods:Relevant literature including clinical decision, recommended practice, best practice, guideline, evidence summary, systematic review, meta-analysis, expert consensus, and government document was systematically searched on British Medical Journal (BMJ) Best Practice, UpToDate, Guidelines International Network, National Guideline Clearinghouse, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, Registered Nurses Association of Ontario, Intravenous Nurses Society, National Comprehensive Cancer Network, Oncology Nursing Society, Medlive, Cochrane Library, Australia Joanna Briggs Institute Evidence-Based Health Care Center database, PubMed, Embase, CINAHL, AiritiLibrary, China National Knowledge Infrastructure, WanFang Data, VIP, China Biomedical Medline Disc. The search period was from the establishment of the database to March 11, 2023. After evaluating the quality of the included literature, the evidence was summarized and graded.Results:A total of 15 articles were included, including 1 government document, 5 guidelines, 4 evidence summaries, 3 expert consensus, 1 systematic review, and 1 clinical decision. 36 best pieces of evidence were formed from 5 aspects, including risk identification, infection prevention, infection intervention, catheter removal, and management training.Conclusions:The process of summarizing the best evidence for CLABSI prevention and management in children in PICU is objective, scientific, rigorous, and practical, which can provide decision-making basis for medical and nursing staff in practice.
