Guideline for Prevention of Intravascular-Device–Related Infections

Guideline for Prevention of Intravascular-Device–Related Infections
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血管内装置相关感染预防指南

DOI:
--
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发表时间:
1996
期刊:
Infection Control & Hospital Epidemiology
影响因子:
--
通讯作者:
M. Pearson
M. Pearson
中科院分区:
--
文献类型:
--
作者:
M. Pearson

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《预防血管内器械相关感染指南》旨在通过提供医院感染控制实践顾问委员会 (HICPAC) 成员一致认为审慎建议的证据概览来降低血管内器械相关感染的发生率。这份由两部分组成的文件更新并取代了先前发布的疾病控制中心 (CDC) 血管内感染指南 (Am J Infect Control 1983;11:183-199)。第一部分“血管内装置相关感染:概述”讨论了血管内装置使用和维护中的许多问题和争议。这些问题包括导管相关感染的定义和诊断、导管插入期间适当的屏障预防措施、更换导管的间隔、静脉(IV)液体和给药装置、导管部位护理、专业静脉注射人员的作用以及预防性抗菌药物、冲洗液和抗凝剂的使用。第二部分“预防血管内器械相关感染的建议”提供了 HICPAC 关于预防和控制血管内器械相关感染的共识建议。该文件的工作草案还经过了医院感染控制、内科、儿科和静脉治疗专家的审查。然而,指南中包含的所有建议可能并不反映所有审稿人的意见。
The “Guideline for Prevention of Intravascular Device-Related Infections” is designed to reduce the incidence of intravascular device-related infections by providing an over view of the evidence for recommendations considered prudent by consensus of Hospital Infection Control Practices Advisor y Committee (HICPAC) members. This two-part document updates and replaces the previously published Centers for Disease Control's (CDC) Guideline for Intravascular Infections (Am J Infect Control 1983;11:183-199). Part I, “Intravascular Device-Related Infections: An Over view” discusses many of the issues and controversies in intravascular-device use and maintenance. These issues include definitions and diagnosis of catheter-related infection, appropriate barrier precautions during catheter insertion, inter vals for replacement of catheters, intravenous (IV) fluids and administration sets, catheter-site care, the role of specialized IV personnel, and the use of prophylactic antimi-crobials, flush solutions, and anticoagulants. Part II, “Recommendations for Prevention of Intravascular Device-Related Infections” provides consensus recommendations of the HICPAC for the prevention and control of intravascular device-related infections. A working draft of this document also was reviewed by experts in hospital infection control, internal medicine, pediatrics, and intravenous therapy. However, all recommendations contained in the guideline may not reflect the opinion of all reviewers.
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