摘要
目的:检索、评价和总结维持性血液透析导管感染防控的证据,为临床实践提供参考.方法:系统检索国内外相关数据库和网站关于预防维持性血液透析患者导管相关感染的证据,包括指南、专家共识、证据总结、标准等.检索时限为2018年1月1日至2024年3月15日.结果:共纳入文献16篇,包括指南10篇、专家共识3篇、标准1篇、标准操作规程1篇、证据总结1篇.总结出32条维持性血液透析导管感染防控的证据,包括组织管理、导管置入、导管维护3个方面.结论:该研究围绕组织管理建设、感染防控重点环节进行了证据总结,为开展维持性血液透析导管感染防控工作提供了循证依据.
Abstract
Objective:To search,evaluate and summarize the evidence of prevention and control of catheter infection in maintenance hemodialysis,and provide reference for clinical practice.Methods:The databases and other related websites were systematically searched for the evidence about prevention of catheter-related infection in maintenance hemodialysis patients,including guidelines,expert consensus,evidence summary and so on.The search period was from January 1,2018 to March 15,2024.Results:A total of 16 articles were included,including 10 guidelines,3 expert consensus,1 standard,1 standard operating procedure and 1 evidence summary.We summarized 32 items of best evidence for prevention and control of catheter infection in maintenance hemodialysis,including three aspects:organization management,catheter installation and catheter maintenance.Conclusion:This study summarized the evidence around the key links of organization management and infection prevention and control,and provided evidence-based basis for the prevention and control of catheter infection in maintenance hemodialysis.
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