临床影响和风险因素中枢线相关的血流感染:一个系统的审查
Khadejah M Alshahrani1, Afnan Z Alhuwaishel2, Norah M Alangari1
1Department of Internal Medicine, Aseer Central Hospital, Abha, SAU.
Cureus
|July 28, 2023
概括
中线相关血流感染 (CLABSI) 是严重的医疗相关感染. 识别诸如多透导管和长时间导管等危险因素对于预防和降低患者发病率和医疗保健成本至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 医疗卫生流行病学 流行病学
- 临床医学 临床医学
背景情况:
- 中线相关血流感染 (CLABSI) 是一个重要的医疗相关感染,导致发病率和死亡率.
- CLABSI定义涉及之前使用中央线路的血流感染,不包括其他感染源.
研究的目的:
- 系统地审查与CLABSI相关的风险因素和临床影响变量.
- 综合当前关于CLABSI相关预测因素,发病率,死亡率,医疗保健费用和住院时间的证据.
主要方法:
- 对过去13年内发表的研究进行系统审查.
- 使用关键词搜索了PubMed/Medline,Google Scholar和Science Direct:CLABSI,中线相关的血液感染,风险因素,预测因素,发病率,死亡率,医疗费用,住院时间.
- 使用修改后的纽卡斯尔-太华尺度 (NOS) 来评估观察性研究的质量.
主要成果:
- 涉及32,198名参与者的15篇文章 (2010-2023) 符合纳入标准.
- 已确定的危险因素包括多透导管,多重中央静脉导管,血液恶性瘤,延长的导管,手术复杂性,延长的ICU停留时间和亲肠营养.
- 研究质量很好,偏差风险低.
结论:
- 在放置中央静脉装置之前,必须仔细考虑个别风险因素.
- 评估风险因素有助于预防CLABSI,减轻严重的临床后果,并减少相关的医疗保健费用.
相关概念视频
01:26Factors Affecting the Risk of Infection
12.0K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.0K
01:22Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.3K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.3K
01:29Endocarditis IV: Nursing Management
16
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
16
01:25Endocarditis I: Introduction
13
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
13
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
214
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
214