西班牙儿科传染病学会 (SEIP) 和西班牙儿科重症监护学会 (SECIP) 关于儿科护理中中央静脉导管相关感染诊断和治疗的共识文件。

Jesús Saavedra-Lozano , María Slocker-Barrio , Elena Fresán-Ruiz , Carlos Grasa , Laura Martín Pedraz , Ana Menasalvas Ruiz , Mar Santos Sebastián
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引用次数: 0

摘要

血管内装置对于儿科多种疾病的诊断和治疗至关重要,而中心静脉导管(CVC)尤为重要。最常见的并发症之一就是这些设备的感染,其发病率和死亡率都很高。这些感染非常复杂,在诊断和治疗方面都需要动用大量资源,而且更频繁地影响到入住复杂性高的病房的脆弱儿科患者。与成人相比,儿科患者的感染管理证据较少,西班牙也未出版过相关的共识文件。本文件由西班牙儿科传染病学会(SEIP)和西班牙儿科重症监护学会(SECIP)联合制定,旨在根据现有的最大量证据提供共识建议,以优化导管相关血流感染(CRBSI)的诊断和治疗。本文件主要针对患有 CRBSI 的非新生儿儿科患者,并不涉及这些感染的预防。
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Consensus document of the Spanish Society of Paediatric Infectious Diseases (SEIP) and the Spanish Society of Paediatric Intensive Care (SECIP) for the diagnosis and treatment of central venous catheter-related infections in paediatric care

Intravascular devices are essential for the diagnostic and therapeutic approach to multiple diseases in paediatrics, and central venous catheters (CVCs) are especially important. One of the most frequent complications is the infection of these devices, which is associated with a high morbidity and mortality. These infections are highly complex, requiring the use of substantial resources, both for their diagnosis and treatment, and affect vulnerable paediatric patients admitted to high-complexity units more frequently. There is less evidence on their management in paediatric patients compared to adults, and no consensus documents on the subject have been published in Spain. The objective of this document, developed jointly by the Spanish Society of Paediatric Infectious Diseases (SEIP) and the Spanish Society of Paediatric Intensive Care (SECIP), is to provide consensus recommendations based on the greatest degree of evidence available to optimize the diagnosis and treatment of catheter-related bloodstream infections (CRBSIs). This document focuses on non-neonatal paediatric patients with CRBSIs and does not address the prevention of these infections.

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