麻醉科导管相关性血流感染预防专家共识

中华医学杂志2023年6月20日第103卷第23期Natl Med J Chir,Jme20.2023.Val.103.No.23·1733··标准与规范·麻醉科导管相关性血流感染预防专家共识中国心胸血管麻醉学会围术期感染控制分会通信作者：程灏，首都医科大学附属北京地坛医院麻醉科，北京100015，Email:chenghaocn(@yahoo.com;王古岩，首都医科大学附属北京同仁医院麻醉科，北京100730，Email:guyanwang2006@163.com【摘要】血管内导管在现代医学诊疗中发挥重要作用，导管相关性血流感染是留置导管过程中常见的并发症之一，严重影响患者预后。为规范我国麻醉科导管相关性血流感染的预防及诊治策略，中国心胸血管麻醉学会围术期感染控制分会基于目前的循证医学证据，经过反复论证，达成本共识。共识从导管相关性血流感染诊断、预防策略、维护与治疗等方面进行阐述，旨在为麻醉科导管相关性血流感染规范化诊治和管理提供参考。【关键词】导管相关性血流感染：预防策略；专家共识Expert consensus on the prevention of catheter-related bloodstream infection in thedepartment of anesthesiologyPerioperative Infection Control Branch of Chinese Society of Cardiothoracic and Vascular AnesthesiaCorresponding authors:Cheng Hao,Department of Anesthesiology,Beijing Ditan Hospital,CapitalMedical University,Beijing 100015,China,Email:chenghaocn@yahoo.com:Wang Guyan,Departmentof Anesthesiology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China,Email:guyanwang2006@163.comAbstract Endovascular catheters play an important role in modern medical diagnosisand treatment.Catheter-related bloodstream infection(CRBSI)is one of the common complicationsduring catheter indwelling,which seriously affects the prognosis of patients.In order to standardizethe prevention,diagnosis and treatment strategies of catheter-related bloodstream infections in theDepartment of Anesthesiology in China,the perioperative Infection Control Branch of the ChineseSociety of Cardiothoracic Anesthesia reached a consensus based on the current evidence-basedmedicine.The consensus elaborates on the aspects of diagnosis,prevention strategy,maintenanceand treatment of catheter-associated bloodstream infection,aiming to provide reference for thestandardized diagnosis,treatment and management of catheter-associated bloodstream infection inthe Department of Anesthesiology.Key words Catheter-related bloodstream infection;Prevention strategies;Expertconsensus血管内导管因其具有操作简便、创伤小、流量infections,.CRBSI)是其重要并发症之一，也是导致充足、保留时间长等优势，在急救、大手术中的监测重症监护病房院内感染的常见原因。在我国，与输液、肠外营养以及危重患者护理等方面发挥着CRBSI已经被列为国家重点监控护理专业医疗质重要作用，已成为临床不可或缺的医疗手段四。导量指标之一I。如何进一步减少CRBSI的发生率管相关性血流感染(catheter-related bloodstream仍是目前亟待解决的问题之一。目前，医院病房和D0L:10.3760/cma-j.cml12137-20221129-02531收稿日期2022-11-29本文编辑张媛引用本文：中国心胸血管麻醉学会围术期感染控制分会.麻醉科导管相关性血流感染预防专家共识中华医学杂志，2023,10323：1733-1738.D01:10.3760/cmaj.cm112137-20221129-02531.