中心靜脈導管照護及其相關感染之探討__臺灣人文及社會科學引文索引資料庫

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題名：	中心靜脈導管照護及其相關感染之探討
書刊名：	長庚護理
作者：	江錦玲／謝美玲／王琬詳
作者(外文)：	Jiang, Jiin-ling／Hsieh, Mei-lin／Wang, Wan-hsiang
出版日期：	2011
卷期：	22:2=74
頁次：	頁184-190
主題關鍵詞：	中心靜脈導管；照護；感染；Central venous catheter；Care；Infection
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(4) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:4 共同引用:2 點閱:121

中心靜脈導管(central venous catheters, CVC)照護是臨床常見及過程較為繁瑣的護理措施，並與感染的發生有關。目前，在國內尚無最合宜的照護標準可供遵循，且各家醫院護理人員在執行中心靜脈導管相關護理照護時，其操作步驟與預防感染處置存有差異。本文藉由搜尋實證資料庫及進行文獻回顧，探討成人中心靜脈導管置入及照護程序中常見質疑，如：皮膚消毒溶液及敷料種類的選擇、導管相關感染之實證措施，並整合文獻結果與建議，期能提供臨床護理人員於執行中心靜脈導管照護過程中的參考準則。

以文找文

Central venous catheters (CVC) care is a common and complex nursing skill in clinical practice. The CVC care is associated with a risk of infection. Currently, it is not clear which standard of CVC care is the most appropriate. The procedure of sterile technique and managements for preventing infectious complications in CVC care vary among hospitals. This article explores not only the common debates regarding CVC nursing management, such as selection of cleansing agent, dressing type, the evidence-based interventions of catheter-related infections, but also integrate the results and recommendations of researches by searching evidence-based databases, and provides practice guidelines for clinical nurses in order to offer appropriate care for patients with central venous access devices.

以文找文

期刊論文
1.	O'Grady, N. P.、Alexander, M.、Dellinger, E. P.、Gerberding, J. L.、Heard, S. O.、Maki, D. G.(2002)。Guidelines for the prevention of intravascular catheter--related infections。Morbidity and Mortality Weekly Report，51(10)，1-29。
2.	盧羽芳、于博芮、曾瑪珊、詹惠雅(20050200)。提昇中心靜脈導管留置護理程序之完成率。護理雜誌，52(1)，25-32。延伸查詢

其他
1.	宋佳穎(2005)。某醫學中心外科加護病房使用中心靜脈導管引起院內感染之相關因素探討。延伸查詢
2.	賴伊貞、王拔群、黃政華(2000)。中心靜脈導管使用及其相關感染之調查。延伸查詢
3.	Bassetti, S., Hu, J., D'Agostino, R. B., & Sherertz, R. J(2001)。Prolonged antimicrobial activity of a catheter containing chlorhexidine-silver sulfadiazine extends protection against catheter infections in vivo。
4.	Bishop, L., Douglas, L., Bodenham, A., Mansi, J., Crowe, P., Kibbler,C., et al(2007)。Guidelines on the insertion and management of central venous access devices in adults。
5.	Centers for Disease Control and Prevention(2002)。Guidelines for the prevention of intravascular catheter-related infections。
6.	Centers for Disease Control and Prevention(20091111)。DRAFT guidelines for the prevention of intravascular catheter- related infections。
7.	Centre for Applied Nursing Research(2007)。How frequently and what type of central line dressing in hospital in-patients prevent complications?。
8.	Cicalini, S., Palmieri, F. & Petrosillo, N(2004)。Clinical review: New technologies for prevention of intravascular catheter-related infections。
9.	Douglas, L., Aspin, A., Jimmeson, N., & Lawrance, V.(2009)。Central venous access: Review of practice。
10.	Eggimann, P., & Pittet, D.(2002)。Overview of catheter-related infections with special emphasis on prevention based on educational programs。
11.	Fletcher, S. J., & Bodenham, A. R.(2000)。Safe placement of central venous catheters: Where should the tip of the catheter lie?。
12.	Gillies, D., Carr, D., Frost, J., O'Riordan, E., Gunning, R., & O'Brien, I(2010)。Gauze and tape and transparent polyurethane dressings for central venous catheters。
13.	Gillies, D., Wallen, M. M., Morrison, A. L., Rankin, K., Nagy, S. A., & O'Riordan, E.(2008)。Optimal timing for intravenous administration set replacement。
14.	Gorski, L. A.(2004)。Peripherally inserted central & midline catheters for the home care nurse。
15.	Green, J.(2008)。Care and management of patients with skin-tunneled catheters。
16.	Hadaway, L. C(2003)。Infusing without infecting。
17.	Hamilton, H(2006)。Complications associated with venous access devices : Part one。
18.	Hamilton, H. C., & Foxcroft, D.(2008)。Central venous access sites for the prevention of venous thrombosis, stenosis and infection in patients requiring long-term intravenous therapy。
19.	Heard, S. O(2001)。Catheter-related infection: Diagnosis, prevention and treatment。
20.	Horvath, B., Norville, R., Lee, D., Hyde, A., Gregurich, M., & Hockenberry, M.(2009)。Reducing central venous catheter-related bloodstream infections in children with cancer。
21.	Maki, D.G. , Kluger, D. M., & Crnich, C. J.(2006)。The risk of bloodstream infection in adults with different intravascular devices: A systematic review of 200 published prospective studies。
22.	National Institute for Health and Clinical Excellence.(2003)。Final guideline: Prevent of healthcare associated infections in primary and community care。
23.	Pellowe, C. M., Pratt, R. J., Harper, P., Loveday, H. P., Robinson, N., Jones, S. R., et al(2003)。Evidence-based guidelines for preventing healthcare-associated infections in primary and community care in England。
24.	Pratt, R. J., Pellowe, C., Loveday, H., P., Robinson, N., Smith, G. W., Barrett, S., et al.(2001)。The epic project: Developing national evidence- based guidelines for preventing healthcare associated infections。
25.	Pratt, R. J., Pellowe, C. M., Wilson, J. A., Loveday, P., Harper, P. J., Jones, S. R. L. J., et al(2007)。Epi 2 : National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England。
26.	Sadoyma, G., Filho, A. D., & Filho, P. P. G.(2006)。Central venous catheter-related bloodstream infection caused by Staphylococcus aureus: Microbiology and risk factors。
27.	Xue, Y. F.(2009)。Central venous access device (CVAD): Dresssing change。
28.	Yogaraj, J. S., Elward, A. M., & Fraser, V. J.(2002)。Rate, risk factors and outcomes of nosocomial primary bloodstream infection in pediatric intensive care unit patients。

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