CAJ | 학술논문

留置中心静脉导管是救治危重患者、实施特殊用药和治疗的有效途径，由置管引起的导管相关性血流感染（CRBSI）问题也日益突出；该综述简述了CRBSI的定义、诊断方法及危险因素，并进行了分析总结，提出从规范教育培训、严格无菌技术操作及手卫生规范、选择合适的穿刺部位及导管、做好穿刺部位皮肤的准备、加强置管后导管护理、建立ICU‐CRBSI目标性监测、降低患者内在感染风险等多方面加以预防与控制，对于降低CRBSI的发生率有明显的效果。
류치중심정맥도관시구치위중환자、실시특수용약화치료적유효도경，유치관인기적도관상관성혈류감염（CRBSI）문제야일익돌출；해종술간술료CRBSI적정의、진단방법급위험인소，병진행료분석총결，제출종규범교육배훈、엄격무균기술조작급수위생규범、선택합괄적천자부위급도관、주호천자부위피부적준비、가강치관후도관호리、건립ICU‐CRBSI목표성감측、강저환자내재감염풍험등다방면가이예방여공제，대우강저CRBSI적발생솔유명현적효과。
Indwelling central venous catheter is an effective way to rescue critically ill patients and implement spe‐cial medication and treatment ,however ,the indwelling catheter‐induced central venous catheter‐associated infec‐tion (CRBSI) is increasingly severe .The review defined the CRBSI and diagnosis methods as well as the risk fac‐tors and concluded that the infections were supposed to be controlled by starting from standardized education and training ,strict aseptic operation ,standard hand hygiene ,appropriate puncture site and catheter ,preparation for puncture site skin ,enhancement of care of catheter after intubation ,establishment of targeted surveillance of ICU‐CRBSI ,and reduction of inherent risk of infections ,which may achieve significant effect on reduction of incidence of CRBSI .