实现重症医学科导管相关血流零感染不是梦  

Achieving Catheter Related Blood Stream Zero Infection in the Department of Critical Care Medicine is not a Dream

作　　者：王滨[1] 柴文昭 WANG Bin;CHAI Wenzhao(Center for Cardiac Intensive Care,Beijing Anzhen Hospital of Capital Medical University,Beijing 100029,China;Department of Critical Care Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京安贞医院心脏外科危重症中心,北京100029 [2]中国医学科学院北京协和医院重症医学科,北京100730

出　　处：《协和医学杂志》2024年第3期498-505,共8页Medical Journal of Peking Union Medical College Hospital

摘　　要：导管相关血流感染(catheter related blood stream infection, CRBSI)是重症医学科的常见并发症,可导致患者住院时间延长、医疗费用增加,甚至发生脓毒症致使死亡率增加。CRBSI的感染控制已成为重症医学科乃至医院管理的重点及质量控制的核心。目前,重症医学科的CRBSI预防方案已基本完善,并建立了中心静脉导管置入和维护的国家标准,这些规范的建立和实施可有效降低CRBSI的发生率。重症医学科的CRBSI问题广泛存在且后果严重,表明临床中心静脉置管及使用过程中的无菌操作存在缺陷,针对其操作流程进行改进,从理论、管理、教育、规范、监督等多个层面努力,完善和落实各项感染控制要求,可有效避免和减少CRBSI的发生,甚至实现零感染。Catheter related blood stream infection(CRBSI),a common complication in the department of critical care medicine,may result in longer stay in the department of critical care medicine,increased hospitali-zation costs,even sepsis that leads to increased mortality in severe patients.The infection control of CRBSI has become the focus of the department of critical care medicine and even hospital management as well as the core of quality control.At present,the prevention program of CRBSI in the department of critical care medicine has been basically in place,and the national standards for infection prevention during central venous catheter placement and maintenance have been established.The establishment and implementation of these norms can effectively re-duce the incidence of CRBSI,but CRBSI in the department of critical care medicine is still common and serious,indicating that there are defects in the aseptic operation during central vein catheterization and use.The corre-sponding operation process should be investigated and improved,and efforts should be made from the aspects of theory,management,education,norms,and supervision to avoid or reduce the occurrence of CRBSI and even achieve zero infection by improving and implementing various sensory control requirements in clinical operation.

关 键 词：重症医学 导管相关血流感染 感染控制 零感染 

分 类 号：R331.1[医药卫生—人体生理学] R631[医药卫生—基础医学]