作者: E. Bouza , M. Guembe , María J. Pérez-Granda
DOI: 10.1007/S40506-013-0001-1
关键词: Catheter insertion 、 Skin disinfection 、 Antiseptic 、 Checklist 、 Intensive care medicine 、 Catheter 、 Medicine 、 Health care 、 Intensive care 、 Central line
摘要: In recent years, healthcare associated infections (HAIs), and central line-associated bloodstream in particular (CLABSI), are being viewed as “preventable” events. It has been estimated that up to 70 % of CLABSI episodes may be preventable with the implementation evidence-based strategies pretending reach zero incidence. The most effective procedures, which have demonstrated reduce significantly rates, preventive bundles, consists a set measures carried out during both catheter insertion maintenance. These mainly following: implementing continuous education training personnel workers, using maximal sterile barrier precautions insertion, performing skin disinfection 2 % alcoholic chlorhexidine, avoiding femoral site, removing unnecessary catheters. However, these performed intensive care units (ICUs) much less emphasis efforts non-ICU wards. There is also need introduce other novel rates such lock antiseptic solutions, impregnated sponges dressings, designating surveillance nurse monitor lines, or keeping record maintenance procedures checklist.