Báo cáo khoa học: "Clinical review: New technologies for prevention of intravascular catheter-related infections"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: New technologies for prevention of intravascular catheter-related infections. | Available online http content 8 3 157 Review Clinical review New technologies for prevention of intravascular catheter-related infections Stefania Cicalini1 Fabrizio Palmieri2 and Nicola Petrosillo3 Resident 2nd Infectious Diseases Unit Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani IRCCS Rome Italy 2Resident 2nd Infectious Diseases Unit Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani IRCCS Rome Italy 3Director 2nd Infectious Diseases Unit Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani IRCCS Rome Italy Correspondence Stefania Cicalini cicalini@ Published online 29 September 2003 This article is online at http content 8 3 157 2004 BioMed Central Ltd Critical Care 2004 8 157-162 DOI cc2380 Abstract Intravascular catheters have become essential devices for the management of critically and chronically ill patients. However their use is often associated with serious infectious complications mostly catheter-related bloodstream infection CRBSI resulting in significant morbidity increased duration of hospitalization and additional medical costs. The majority of CRBSIs are associated with central venous catheters CVCs and the relative risk for CRBSI is significantly greater with CVCs than with peripheral venous catheters. However most CVC-related infections are preventable and different measures have been implemented to reduce the risk for CRBSI including maximal barrier precautions during catheter insertion catheter site maintenance and hub handling. The focus of the present review is on new technologies for preventing infections that are directed at CVCs. New preventive strategies that have been shown to be effective in reducing risk for CRBSI including the use of catheters and dressings impregnated with antiseptics or antibiotics the use of new hub models and the use of antibiotic lock solutions are briefly described. Keywords catheter-related bloodstream infections central venous

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