肠功能衰竭患儿血管导管相关感染危险因素的范围综述

Risk factors forvessel catheter associated infection in children with intestinal failure:a scoping review

目的对肠功能衰竭患儿血管导管相关感染危险因素的相关研究进行范围审查,以期为临床医护人员预防并控制感染提供参考依据。方法以范围综述方法为框架,检索PubMed、Embase、CINAHL、APA PsycInfo、Web of Science、Scopus、Cochrane Library、中国生物医学文献数据库、中国知网和万方数据库。检索时限为建库至2022年2月1日。对纳入文献进行汇总和分析。结果共纳入28篇文献,分析可得肠衰竭患儿血管导管相关感染危险因素涵盖7个方面:患儿基本情况、导管护理措施、封管液种类、置管因素、患儿剩余肠道情况、照护者护理水平、治疗性因素。结论肠衰竭患儿血管导管相关感染的危险因素复杂多样且有其鲜明的疾病特点,未来医护人员可基于上述危险因素优化管道护理措施、构建跨专科健康教育模式、提升照护者护理水平,以降低患儿血管导管相关感染发生率。

Objective To scope review of studies on the risk factors for vessel catheter associated infection in children with intestinal failure was reviewed,so as to provide a reference for clinical medical staff to prevent and control infection.Methods Based on the framework of scope review method,PubMed,Embase,CINAHL,APA PsycInfo,Web of Science,Scopus,Cochrane Library,China Biomedical Literature Database,China Knowledge Networkand Wanfang database are retrieved.The retrieval period was from the database construction to February 1,2022.The included literatures were Summarized and analyzed.Results A total of 28 articles were included,and the risk factors of vessel catheter associated infection in children with intestinal failure were found to include 7 aspects:basic information of children,catheter nursing measures,type of tube-sealing solution,catheter factors,residual intestinal condition of children,nursing level of caregivers,therapeutic factors.Conclusions The risk factors of vessel catheter associated infection in children with intestinal failure were found to include 7 aspects,which are complex and diverse with distinctive disease characteristics.In the future,medical staff can optimize the pipeline nursing measures;construct the model of cross-specialty health education and improve the nursing level of caregivers to reduce the incidence of vessel catheter associated infection.