Central venous catheter insertion: Review of recent evidence

被引:8
|
作者
Maria, Lema Tome [1 ,2 ,3 ]
Alejandro, Garrido Sanchez [1 ,4 ,5 ,6 ]
Jesus, Perez-Granda Maria [1 ,7 ,8 ]
机构
[1] Hosp Gen Univ Gregorio Maranon Madrid, Anesthesiol Dept, Madrid, Spain
[2] ESAIC Patient Safety & Qual Comm, Madrid, Spain
[3] Patient Safety Expert & Coordinator Madrid SENSAR, Madrid, Spain
[4] Hosp Virtual Valdecilla Santander, Med Simulat Instructor, Cantabria, Spain
[5] Inst Med Simulat Boston, Madrid, Spain
[6] Patient Safety Expert & Vice President SENSAR Spa, Madrid, Spain
[7] Ciber Enfermedades Respiratorias CIBERES CIBER CB, Madrid, Spain
[8] Hosp Gen Univ Gregorio Maranon Madrid, Clin Microbiol & Infect Dis Dept, Madrid, Spain
关键词
Catheter-related infection; OR hygiene; hand hygiene; patient safety; BLOOD-STREAM INFECTIONS; PREVENTION; GUIDELINES; ULTRASOUND; EFFICACY;
D O I
10.1016/j.bpa.2020.12.009
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Guidelines for prevention of catheter-related bloodstream infection (CR-BSI) describe a series of recommendations for correct insertion and handling of central venous catheters (CVCs). Since their implementation, quality programs such as ?Zero bacteremia? have achieved a reduction in CR-BSI rates, but there is still room for further improvement. New evidence is emerging regarding, e.g., antiseptic-antimicrobial impregnated catheters or the use of passive disinfection of closed connectors. These examples of new tools among others might help to further decrease infection rates. This article aims to review new evidence-based strategies to reduce catheter insertion-related infection. ? 2020 Elsevier Ltd. All rights reserved.
引用
收藏
页码:135 / 140
页数:6
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