CRBSI导管感染概述_图文.pptVIP

* Fortunately, a series of interventions like this already exists, we call it the central line bundle. It is… * The central line bundle is a package of interventions that reduce the risk of the harm associated with having a central line placed and used. The risk of bloodstream infection is reduced by ensuring hand hygiene amongst staff, always using maximal barrier precautions at the time of placement, cleansing sites with chlorhexidine rather than other antiseptics, selecting the appropriate site, and reviewing daily for early removal. * CDC RECCOMENDATIONCDC推荐 The Central Line Bundle*中心线束 …is a group of interventions related to patients with intravascular central catheters that, when implemented together, result in better outcomes than when implemented individually. 与病人内腔中心管相关的一组干预方法,同时实施的时候,比单独实施时候有更好的效果. *Bundle束: Grouping of best practices一组最好的方法 Central Line Bundle Elements中央线束要素 Hand hygiene手卫生 Maximal barrier precautions 最大的屏障预防 Chlorhex idine skin antisepsis碘酒皮肤消毒 Optimal catheter site selection, with subclavian vein as the preferred site for non-tunneled catheters in adults 合适的导管位置选择,成人导液推荐锁骨下静脉 Daily review of line necessity with prompt removal of unnecessary lines日常必要性检查,移除不必要的管线 If other professions can impose much tighter regulations to minimize risks, should we do the same? 如果其他同行推行更严格的制度来使风险降到最低,我们是否也要同样做呢? Are 3-5 infections/ 1000 patient days acceptable? 3—5/1000感染率大众是否接受? United States Canada: accident rates as of 12.31.2004事故率 Airline航空公司 Rate Events No. Flights Air Canada加拿大航空 0.63 3 4.75 Million Alaska Airlines阿拉斯加航空 0.74 3 4.05 Million Aloha Airlines阿罗哈航空 0.49 1 1.34 Million American Airlines/Eagle美航 0.59 10 17.0 Million Continental Airlines/Express欧航 0.63 5 8.00 Million Delta Air Lines达美航空 0.30 6 20.0 Million /statistics/ Intranet Based Training Module 局域网培训模块 Intranet Based Training Module 局域网培训模块 * * * * * This presentation reviews key aspects of nonvalvular cardiovascular device-related infections that are outlined in a