血液透析患者静脉导管相关感染研究进展
The Research Progress about Hemodialysis Patients with Venous Catheter Related Infections

作者: 李汝芬 * , 徐立萍 :滨州医学院附属医院,山东 滨州;

关键词: 静脉导管感染血液透析护理Venous Catheter Infection Hemodialysis Nursing

摘要:
本文通过查阅国内外文献研究,综述了血液透析患者静脉导管相关感染定义、临床表现、原因及影响因素,提出相关防治措施。当发生静脉导管相关感染时,积极进行抗感染处理,采取局部消毒、抗生素封管、全身用药等措施。同时,医护人员做好患者的健康宣教,避免易感隐患,密切观察感染征象,积极处理,预防感染发生。

Abstract: In this paper, the definition, clinical manifestations, causes and influencing factors of venous ca-theter related infection in hemodialysis patients were reviewed through the literature research at home and abroad, and relevant prevention measures were put forward. When the venous catheter related infection occurs, we should actively carry out anti-infection treatment, take the local disinfection, use antibiotic sealing tube, and apply systemic medication and other measures. At the same time, health care personnel should do a good job in patients with health education, to avoid the hidden dangers, close observation of infection signs and actively deal with, and prevent infection.

文章引用: 李汝芬 , 徐立萍 (2016) 血液透析患者静脉导管相关感染研究进展。 护理学, 5, 50-54. doi: 10.12677/NS.2016.53010

参考文献

[1] 吕文律, 滕杰, 钟一红, 等. 血液透析患者死亡原因分析[J]. 肾脏病与透析肾移植杂志, 2011, 20(3): 227-234.

[2] Mehrotra, R., Chiu, Y.W., Kalantar-Zadeh, K., et al. (2011) Similar Outcomes with Hemodialysis and Peritoneal Dialysis in Patients with End-Stage Renal Disease. Archives of Internal Medicine, 171, 110-118. http://dx.doi.org/10.1001/archinternmed.2010.352

[3] Battistella, M., Bhola, C. and Lok, C.E. (2011) Long-Term Follow-Up of the Hemodialysis Infection Prevention with Polysporin Ointment (HIPPO) Study: A Quality Improvement Report. American Journal of Kidney Diseases, 57, 432- 441. http://dx.doi.org/10.1053/j.ajkd.2010.10.009

[4] 中华医学会重症医学分会血管内导管相关感染的预防与治疗指南编写组. 血管内导管相关感染的预防与治疗指南(2007) [J]. 中国实用外科杂志, 2008, 28(6): 413-421.

[5] Memel, L., Allon, M., Bouza, E., et al. (2009) Clinical Practice Guidelines for the Diagnosis and Management of Intravascular Catheter-Related Infection: 2009 Update by the IDSA. Clinical Infections Diseases, 49, 1-5. http://dx.doi.org/10.1086/599376

[6] 洪海兰, 王莲凤, 黄冬玲, 等. 不同年龄维持性血液透析患者健康相关生活质量分析[J]. 解放军护理杂志, 2009, 26(7A): 28-30.

[7] 史均宝, 田信奎, 张晓宇, 等. 维持性血液透析患者饮食蛋白质摄入和营养状态关系的探讨[J]. 营养学报, 2008, 30(6): 661-663.

[8] 叶朝阳. 老年患者的血液透析及其血管通路[J]. 肾脏病与透析肾移植杂志, 2010, 19(1): 51-52.

[9] 叶朝阳, 主编. 血液透析血管通路的理论与实践[M]. 上海: 复旦大学出版社, 2000: 63-64.

[10] 中国医院协会血液净化中心管理分会血液净化管路学组. 中国血液透析用血管通路专家共识(第1版) [J]. 中国血液净化, 2014, 13(8): 556-558.

[11] 孙专意. 行血液净化的肾病患者血管通路的护理[J]. 中国实用护理杂志, 2012, 28(16): 27-28.

[12] 沙国柱, 季大玺. 血液透析管路及其并发症[J]. 肾脏病与透析肾移植杂志, 1997, 6(1): 68-71.

[13] Shimokura, G., Chai, F., Weber, D.J., et al. (2011) Patient-Care Practices Associated with an Increased Prevalence of Hepatitis C Virus Infection among Chronic Hemodialysis Patients. Infection Control and Hospital Epidemiology: The Official Journal of the Society of Hospital Epidemiologists of America, 32, 415. http://dx.doi.org/10.1086/659407

[14] 居丽雯, 胡必杰, 主编. 医院感染管理学[M]. 上海: 复旦大学出版社, 2006: 163.

[15] Betjes, M.G.H. (2011) Prevention of Catheter-Related Bloodstream Infection in Patients on Hemodialysis. Nature Reviews Nephrology, 7, 257-265. http://dx.doi.org/10.1038/nrneph.2011.28

[16] 蔡宗仰, 欧阳梓华, 禤伟振, 等. 血液透析患者血管通路感染[J]. 肾脏病与透析肾移植杂志, 2012, 21(2): 145- 182.

[17] 张璐, 尤黎明, 郑晶, 等. 活动能力对维持性血液透析患者死亡率的预测价值[J]. 中国血液净化, 2012, 11(4): 183-188.

[18] Brookhart, M.A., Freburger, J.K., Ellis, A.R., et al. (2013) Infection Risk with Bolus versus Maintenance Iron Supplementation in Hemodialysis Patients. Journal of the American Society of Nephrology, 24, 1151-1158. http://dx.doi.org/10.1681/ASN.2012121164

[19] 王涛, 张凡, 魏萌, 等. 头孢他啶–肝素封管预防血液透析患者深静脉置管感染[J]. 中国组织工程研究, 2012, 16(31): 5759-5762.

[20] 胡必杰, 郭燕红, 高光明, 等, 主编. 医院感染预防与控制标准操作规程[M]. 上海: 上海科学技术出版社, 2010: 4-5.

[21] 何长民, 张训, 主编. 肾脏替代治疗学[M]. 上海: 上海科技教育出版社, 2005: 57.

[22] 叶朝阳, 主编. 血液透析血管通路技术与临床应用[M]. 上海: 复旦大学出版社, 2010: 258-259.

分享
Top