摘要
中心静脉导管相关血流感染(CLABSI)是中心静脉置管较常见且严重的并发症,可导致各种近期或远期不良结局。随着经外周静脉置入中心静脉导管(PICC)留置时间的延长,新生儿CLABSI发生率未呈线性增长。脐静脉导管(UVC)留置超过1~2周时,新生儿CLABSI发生率可能会明显增加;在UVC留置7~10 d内换置PICC,可能会降低CLABSI发生密度,但尚未得到循证支持。本文对新生儿CLABSI与导管留置时间关系的相关研究进行综述,以期更合理地计划留置时间,更有效地预防CLABSI。
The central line-associated bloodstream infection(CLABSI)is a common and serious complication of central venous catheterization,which can lead to various short-term and long-term adverse outcomes.Neonatal CLABSI did not increase linearly with the prolongation of peripherally inserted central catheter(PICC).When the umbilical venous catheter(UVC)is retained for more than 1-2 weeks,the incidence of neonatal CLABSI may increase significantly;PICC replacement at 7-10 days after UVC indwelling may reduce the incidence of CLABSI,but it has not been supported by evidence-based medicine.This article reviews the related studies between neonatal CLABSI and catheter dwell time,in order to plan the indwelling time more reasonably and prevent CLABSI better.
作者
王乐瑶
任漪
高翔羽
Wang Leyao;Ren Yi;Gao Xiangyu(Department of Neonatology,Xuzhou Central Hospital(the Xuzhou Clinical College of Xuzhou Medical University),Xuzhou 221009,Jiangsu,China)
出处
《中华危重病急救医学》
CAS
CSCD
北大核心
2022年第3期320-324,共5页
Chinese Critical Care Medicine
基金
江苏省青年医学重点人才(QNRC2016385)
江苏省妇幼健康重点学科专项资金(FXK201743)
江苏省徐州市科技局重点研发计划(KC20069)。
关键词
中心静脉导管
血流感染
留置时间
新生儿
Central venous catheterization
Bloodstream infection
Dwell time
Newborn
