预防经外周静脉置入中心静脉导管相关感染的最佳证据总结
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R181.3+2

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2023年上海理工大学医工交叉项目(2023CH-XK062)


Summary of the best evidence for preventing peripherally inserted central venous catheter-associated infection
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    摘要:

    目的 系统汇总了预防经外周静脉置入中心静脉导管(PICC)相关感染的最佳证据,为医护人员制定预防PICC相关感染管理策略提供循证依据。方法 根据证据金字塔“6S”模型,自上而下系统检索UpToDate、世界卫生组织网站、美国疾病预防与控制中心网站、美国静脉输液护理学会网站、加拿大安大略注册护士协会网站、澳大利亚新南威尔士州临床创新机构网站、国家卫生健康委员会网站、医脉通指南网、PubMed、Web of Science、Cochrane Library、Embase、知网、万方、维普、中国生物医学文献数据库中关于预防PICC相关感染的相关文献。纳入文献类型包括临床决策、指南、共识、证据总结和系统评价。检索时限为建库至2024年8月,由两名研究者独立进行文献质量评价与证据提取。结果 共纳入19篇文献,包括2篇临床决策、9篇指南、6篇专家共识、1篇证据总结与1篇系统评价,最终形成涵盖管理、工具、置管、维护、输液、移除6个主题的28条证据。结论 本研究总结了预防PICC相关感染的最佳证据,建议临床医护人员合理审慎地应用相关证据,降低PICC相关感染发病率。

    Abstract:

    Objective To systematically summarize the best evidence for the prevention of peripherally inserted central venous catheter (PICC)-associated infection, and provide evidence-based basis for healthcare workers to formulate management strategies for the prevention of PICC-associated infection. Methods According to the "6S" model of the evidence pyramid, relevant literatures on the prevention of PICC-related infection were systematically retrieved from top to bottom from UpToDate, websites of World Health Organization, Centers for Disease Control and Prevention, Infusion Nurses Society, Registered Nurses’ Association of Ontario, New South Wales Agency for Clinical Innovation, National Health Commission of the People’ Republic of China, Medlive, PubMed, Web of Science, Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI), Wanfang, VIP, and SinoMed Database. The types of included literatures were clinical decision-making, guidelines, consensus, evidence summaries, and systematic reviews. The retrieval search window was from the establishment of the database to August 2024. Two researchers independently evaluated the quality of literatures and extracted evidence. Results A total of 19 papers were included in the analysis, including 2 clinical decisions, 9 guidelines, 6 expert consensuses, 1 evidence summary, and 1 systematic review. Ultimately, 28 pieces of evidence covering 6 topics including management, tools, catheterization, maintenance, infusion, and removal were formed. Conclusion This study summarizes the best evidence for preventing PICC-related infection, and recommends that clinical healthcare workers apply relevant evidence rationally and prudently, so as to reduce the incidence of PICC-related infections.

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徐敏珊,万光明,陈野,等.预防经外周静脉置入中心静脉导管相关感染的最佳证据总结[J]. 中国感染控制杂志,2025,24(9):1269-1277. DOI:10.12138/j. issn.1671-9638.20252110.
XU Minshan, WAN Guangming, CHEN Ye, et al. Summary of the best evidence for preventing peripherally inserted central venous catheter-associated infection[J]. Chin J Infect Control, 2025,24(9):1269-1277. DOI:10.12138/j. issn.1671-9638.20252110.

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  • 收稿日期:2025-02-13
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  • 在线发布日期: 2025-09-23
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