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題名 | 如何避免中央靜脈導管所引起的感染=Prevention of Intravascular Catheter-Associated Infections |
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作者姓名(中文) | 尹永成; 呂炳榮; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 4:4 2002.10[民91.10] |
頁次 | 頁239-243 |
分類號 | 416.15 |
關鍵詞 | 中央靜脈導管; 院內感染; 預防方法; Central venous catheter; Cost-effective; Nosocomial infection; |
語文 | 中文(Chinese) |
中文摘要 | 在現代醫學中,尤其是在重症加護中心,中央靜脈導管(central venous catheter,CVC)扮演相當重要的角色。雖然它提供我們一個輸液給藥的良好途徑,但另一方面也提高了病人局部或者全身因導管引起的感染機率。本論文提出幾種能預防細菌感染的建議如下:使用Maximum Sterile Barrier (MSB),塗有抗生素的導管,以chlorhexidine gluconate作置入部位皮膚消毒,以及一些有效或是效果令人爭議的方法等。醫院方面應就花費與效益上,盡可能的降低這重要且普遍的院内感染機率。 |
英文摘要 | Central venous catheters (CVC) are indispensable in modern-day medical practice, particularly in intensive care units. Although such catheters provide necessary vascular access, their use puts patients at risk for local and systemic infections complications. We review several important preventive strategies, such as the use of maximum barrier precautions, central venous catheters coated with antibacterial or antiseptic agents, and the use of chlorhexidine gluconate for skin antiseptic at the insertion site. In light of the substantial clinical and economic burden of catheter-related infection, hospital personnel should adapt the recommended cost-effective methods to reduce this common source of nosocomial complication. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。