限制中央静脉导管获取血液样本的访问及其对中央线路相关的血液感染的影响:一个范围审查
Mary Beth Hovda Davis1, Takaaki Kobayashi2, Kathryn Trautman3
1University of Iowa College of Nursing, Iowa City, IA; University of Iowa Stead Family Children's Hospital, Iowa City, IA.
American journal of infection control
|November 6, 2025
概括
减少血液抽取的中央静脉导管 (CVC) 接入,降低了感染风险. 像标准化采样和瘤手术团队这样的策略可以减少中线相关血流感染 (CLABSI).
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 感染控制的方法是感染控制.
- 患者安全 患者安全
背景情况:
- 中枢静脉导管 (CVC) 是必不可少的,但通过输液,药物和血液抽取增加了感染风险.
- 中央线路相关的血液感染 (CLABSI) 是医院环境中的一个重大问题.
- 评估CVC访问风险对于预防感染至关重要.
研究的目的:
- 对CVC访问风险进行范围审查.
- 确定限制CVC使用的策略.
- 为了减少医院中CLABSI的发生率.
主要方法:
- 根据阿克西和奥马利框架进行范围审查.
- 根据PRISMA-ScR指南进行报告.
- 在CINAHL,EMBASE,PubMed和Scopus (过去十年) 中进行的搜索.
主要成果:
- 六项研究符合纳入标准.
- 确定的干预措施:标准化CVC采样时间,瘤学家进行外周血液培养,避免血液抽取CVC.
- 血液培养和例行抽血的CVC访问减少是一个关键发现.
结论:
- 较高的CVC访问频率与增加的CLABSI风险相关.
- 减少CVC血液抽取的干预措施有效降低了CLABSI的发生率.
- 瘤组和标准化采样协议可以提高患者的安全,并指导医院的政策.
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