Diagnosis,Treatment and Prevention of Central Venous Catheter-related Bloodstream Infections
- VernacularTitle:中心静脉导管相关血流感染的诊治及预防
- Author:
Jingli ZHANG
;
Lihong WANG
;
Wenhui MA
;
Xia ZHAO
;
Guizhen WANG
- Publication Type:Journal Article
- Keywords:
Central venous catheter;
Bloodstream infection;
Diagnosis and treatment;
Prevention
- From:
Chinese Journal of Nosocomiology
2006;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To focus on the diagnosis,treatment and prevention of central venous catheter(CVC)-related bloodstream infections(CRBSI)in clinical practice.METHODS The related articles within the nearest 10 years were reviewed,which published in the domestiec and foreign academic journals,at the same time,the related monitoring data of the hospital were analyzed.RESULTS Highlights on the diagnosis,treatment and prevention of CRBSI:for the patients with CVC,the possibility of the CRBSI should be considered,as soon as a high fever was found,and it could not be explained with the non-infectious causes.Infection occurring time and pathogen were different between the general catheters and the anti-infective catheters.The effect of the anti-infective catheters was limited.To pull out the catheters was one of the most effective treatment measures.CONCLUSIONS Prevention of CRBSI:the indications of CVC intubation should be undisputed.Silicone catheter should be used.When the catheter is predicted to be indwelling more than 5 days,anti-infective catheters should be chosen.To insert CVC at the subclavian vein instead of the femoral vein.To care the hub and keep the puncture point dry and do disinfection well.The health care workers should be trained.
