经外周静脉置入中心静脉导管相关血流感染防控策略进展

Progress in prevention and control strategies for peripheral inserted central catheterrelated bloodstreams infection

经外周静脉置入中心静脉导管(peripheral inserted central catheter, PICC)是住院患者中最常用的中心静脉导管,而导管相关血流感染(catheter-related bloodstreams infection, CRBSI)是PICC留置期间最严重的并发症之一,可影响患者预后及治疗。降低血管内CRBSI发生率是医疗质量安全管理目标之一,持续引起国内外专家及学者的关注,国内外权威机构相继颁布了一系列防控指南和专家共识,关于CRBSI风险评估的相关研究也在迅速发展。该文从PICC相关血流感染的风险评估、防控措施及信息化监测与反馈等方面进行综述,以期为构建PICC相关血流感染防控体系提供借鉴。

Peripheral inserted central catheter(PICC)is the most commonly used central venous catheter in hospitalized patients,and catheter-related bloodstreams infection(CRBSI)is one of the most serious complications during PICC retention,which can affect patient prognosis and treatment.Reducing the incidence of intravascular CRBSI is one of the goals of medical quality and safety management,which continues to attract the attention of domestic and foreign experts and scholars.Authoritative institutions at home and abroad have successively issued a series of prevention and control guidelines and expert consensus,and related research on risk assessment of CRBSI is also rapidly developing.This article reviews the risk assessment,prevention and control measures,and information monitoring and feedback of PICCrelated bloodstreams infection,in order to provide reference for building a PICC-related bloodstreams infection prevention and control system.