[意大利东北部的腹膜透析网络:关于腹膜导管外出部位感染管理的调查和与ISPD指南的比较]
Antonino Previti1, Sabrina Milan Manani2, Vincenzo Cosentini3
1UOS Nefrologia e Dialisi, Ospedale Alto Vicentino, Santorso (VI).
概括
这项调查突出了围透析 (PD) 导管出口部位感染 (ESI) 管理的变化. 当前的实践表明ESI治疗的方法多样化,强调遵守国际指南以获得最佳患者结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染病管理 传染病管理
背景情况:
- 腹腔透析 (PD) 是一种脏替代疗法.
- 管理PD导管出口部位感染 (ESI) 是至关重要的.
- 最近国际腹腔透析学会 (ISPD) 的指导方针涉及ESI.
研究的目的:
- 在Triveneto PD网络中心中评估PD导管ESI管理的当前做法.
- 识别ESI的诊断和治疗方法的变化.
- 为了使临床实践与ISPD指导方针保持一致.
主要方法:
- 一项调查分发给意大利东北部所有PD中心.
- 该调查涵盖了鼻腔/出口部位扫描,颗粒组织管理,ESI处理,银,超声波使用和袖口剃须的标准.
- 每个中心至少从一个运营商那里收集数据.
主要成果:
- 所有被调查的PD中心都参与了调查.
- 在出口部位扫描的指示中存在显著的变化.
- 普遍存在的ESI治疗包括口服经验疗法,通常与局部治疗相结合,根据培养结果进行调整.
结论:
- 出口部位感染 (ESI) 是评估PD临床实践的关键指标.
- 遵守国家和国际指导方针对于标准化PD护理至关重要.
- 记录患者的结果对于改善透析单位的质量至关重要.
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