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The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
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Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
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小児におけるクリーン間欠導尿のガイドライン

Zhao-Kai Zhou1, Yi-Bo Wen1, Qing-Wei Wang1

  • 1Pediatric Urodynamic Center and Department of Urology, The First Affiliated Hospital of Zhengzhou University, Henan Joint International Pediatric Urodynamic Laboratory, Zhengzhou, 450052, China.

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まとめ

このガイドラインは、小児におけるクリーン間欠導尿（CIC）の標準化された推奨事項を提供し、排尿困難のある小児の膀胱排出を改善します。効果的な管理のために、介護者のトレーニングと学際的なアプローチを重視しています。

キーワード:
小児クリーン間欠導尿ガイドライン排尿後残尿量安全膀胱容量尿力測定検査

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科学分野:

  • 小児泌尿器科学;腎臓学;ガイドライン開発

背景:

  • クリーン間欠導尿（CIC）は、排尿機能障害のある小児患者の膀胱排出に不可欠です。;小児CICの標準化されたプロトコルの欠如は、専門家のコンセンサスを必要とします。;このガイドラインは、小児におけるCICの適用を標準化することを目的としています。

研究 の 目的:

  • 小児集団におけるCICの標準化された適用のためのエビデンスに基づいた推奨事項を確立すること。;CICを必要とする小児における一貫した効果的な膀胱管理のためのプロトコルを提供すること。

主な方法:

  • 臨床試験、コホート研究、症例シリーズ、およびコンセンサス声明の体系的な文献レビュー。;PubMed、Embase、Cochrane Library、Web of Scienceの主要なデータベースで検索が実施されました。;ガイドライン開発は、WHOガイドライン開発ハンドブック（第2版）に従いました。

主要な成果:

  • 上部尿路リスクをもたらす排尿後残尿量（PVR）が増加した小児には、CICが推奨されます。;安全膀胱容量（SBC）およびPVR測定値は、排尿日誌とともにCICの頻度をガイドします。;専門的な介護者のトレーニング、細心の衛生管理、および協力的な学際的アプローチは、CICの実装を成功させるために不可欠です。

結論:

  • 小児CICの標準化されたプロトコルが確立されました。;このガイドラインは、小児における一貫した効果的な膀胱排出を促進します。;このプロトコルは、小児患者における下部尿路機能障害の最適な管理をサポートします。