常规更换外周动脉导管有足够理由吗？

David

Clinical Microbiology and Infection
Volume 14 Issue 9, Pages 813 - 815

EDITORIAL
Is routine changing of peripheral arterial catheters justified?
常规更换外周动脉导管有足够理由吗？
F. Blot 1 , G. Estphan 1 , A. Boughaba 1 , D. Soltani 1 , C. Edé 1 and E. Chachaty 2
  1 Intensive Care Unit and   2 Microbiology Unit, Institute Gustave Roussy, Villejuif, France
Corresponding author and reprint requests: F. Blot, Service de Réanimation Médico-Chirurgicale, Institut Gustave Roussy, 39, rue Camille Desmoulins, 94 805 Villejuif, France
E-mail: blot@igr.fr
Copyright © 2008 European Society of Clinical Microbiology and Infectious Diseases
KEYWORDS
Arterial catheter • bacteraemia • cancer patients • catheter-related infection • catheter removal • intensive care units
ABSTRACT
Although peripheral arterial catheters (pACs) are used extensively, disagreement persists concerning the practice of scheduled replacement to prevent catheter-related infections. Despite recommendations and no proof of benefit, pAC replacement continues to be scheduled as a routine practice in many intensive care units (ICUs) worldwide. Our own experience in an oncology ICU, based on a 217-device database, confirms that the risk for pAC-related infections is stable over time, arguing against scheduled replacement. The low rate and stability of the risk of pAC-related infections supports the rationale for conservative management in accordance with expert recommendations.

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