PATHOGENESIS AND PREVENTION OF CATHETER-RELATED SEPTICEMIA

被引:20
作者
SITGESSERRA, A
PISUNER, T
GARCES, JM
SEGURA, M
机构
[1] Department of Surgery Hospital Universitari del Mar, Barcelona
[2] Department of Infection Control Hospital Universitari del Mar, Barcelona
关键词
D O I
10.1016/0196-6553(95)90062-4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Intravascular catheters are contaminated by bacterial flora present on the patient's own skin or on the hands of the personnel manipulating the catheter-tubing junction. In the former case, contamination is more often extraluminal and often leads to CRS soon after catheter insertion. In the second circumstance, contamination preferentially involves the endoluminal route and results in bacteremia after the initial 10 to 14 days of catheter use. Effective prevention relies on thorough aseptic technique during insertion of the catheter or manipulation of its hub. Further studies are required to define the best means of achieving permanent sterilization of the insertion site. New hub designs should reduce the risk of hub contamination and CRS in prolonged intravascular catheterizations. © 1995.
引用
收藏
页码:310 / 316
页数:7
相关论文
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