血管内导管相关感染诊断、预防、与管理的研究进展
本帖最后由 蓝鱼o_0 于 2012-7-12 16:59 编辑PICC与CVC有指导性意义
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题目:Intravascular catheter-related infections: advances in diagnosis, prevention, and management
作者:Issam Raad, Hend Hanna, Dennis Maki
出处:Lancet Infect Dis 2007; 7:645–57
摘要:
Indwelling vascular catheters are a leading source of bloodstream infections in critically ill patients and cancer
patients. Because clinical diagnostic criteria are either insensitive or non-specifi c, such infections are often
overdiagnosed, resulting in unnecessary and wasteful removal of the catheter. Catheter-sparing diagnostic methods,
such as diff erential quantitative blood cultures and time to positivity have emerged as reliable diagnostic techniques.
Novel preventive strategies include cutaneous antisepsis, maximum sterile barrier, use of antimicrobial catheters, and
antimicrobial catheter lock solution. Management of catheter-related bloodstream infections involves deciding on
catheter removal, antimicrobial catheter lock solution, and the type and duration of systemic antimicrobial therapy.
Such decisions depend on the identity of the organism causing the bloodstream infection, the clinical and
radiographical manifestations suggesting a complicated course, the underlying condition of the host (neutropenia,
thrombocytopenia), and the availability of other vascular access sites. 下载了,但全英文版,看得吃力,老师是否有中文版的呢? 医院感染控制方面也可以发表高水平的SCI论文。 这个论坛都是大师啊!好好学习,天天向上!
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