儿科中与中枢线相关的血液感染:一篇综述
Aarti C Bavare1,2, Catherine E Foster3,4, Amanda L Wollam2
1Division of Critical Care, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Pediatrics in review
|August 28, 2025
概括
中枢静脉感染 (CLABSI) 是儿童中枢静脉导管患者的一个重大问题. 在过去的20年中,基于证据的指导方针成功降低了CLABSI的发病率.
科学领域:
- 儿童传染病
- 医疗流行病学
- 预防感染
背景情况:
- 中枢线路相关的血液感染 (CLABSI) 是儿童患者需要中央静脉导管的主要医疗相关感染.
- 这些感染对住院儿童和非住院儿童构成重大风险.
研究的目的:
- 为儿童群体提供CLABSI的全面审查.
- 详细说明儿科CLABSI的定义,发病因子,危险因素,预防策略和治疗原则.
主要方法:
- 对现有文献和基于证据的指导方针进行审查.
- 综合来自疾病预防控制中心和NHSN等专业协会的信息.
- 分析过去二十年的预防和管理策略.
主要成果:
- 通过实施指导方针实现了CLABSI率的显著降低.
- 基于证据的实践显然改善了患者的治疗结果.
- 该审查巩固了目前关于CLABSI预防和治疗的知识.
结论:
- 由于标准化指导方针,儿童中CLABSI的预防已取得显著进展.
- 继续坚持以证据为基础的做法对于最大限度地减少CLABSI发病率至关重要.
- 本综述作为了解和管理儿童的CLABSI的资源.
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
300
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,...
300
Endocarditis IV: Nursing Management
27
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...
27
Healthcare Associated Infections II: Preventive Measures
2.8K
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...
2.8K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.4K
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.
4.4K


