Big coffee said to continue the miracle of ICU and comprehensively prevent central venous catheter-related infections

*The professional part involved in this article is only for medical professionals to read for reference.
ICU has always been a key department in hospital management
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Recently, the column of "Vascular Access Information Bureau" joined hands with two guests Guo Feng and Duan Jun to discuss the hot issues of ICU hospital infection management
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 Hot spot 1: What are the key points for preventing and controlling vascular catheter-related infections? Hot spot 2: How to choose a central venous catheter to reduce the risk of catheter infection in critically ill patients? As a place with a high incidence of hospitalization, ICU infection control is the top priority
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In addition to the sharing of the two guests, what can we do to prevent and control central venous catheter-related infections? Management and training of the ICU placement team Improve the placement technology of the placement staff, strengthen the training of catheter-related infection (CRI) related knowledge, and carry out targeted surveillance
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After the patient is placed in the catheter, professional nursing staff pay attention to the local infection performance and systemic infection signs at the puncture site, pay attention to and follow up the blood culture report, and reduce the incidence of catheter-related infection through professional training and management
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Strictly aseptic environment When the central venous catheter is placed, it is necessary to strictly adhere to the concept of sterility, provide a sterile barrier, strictly do hand hygiene, wear sterile gloves, wear isolation gowns, and wear masks and hats
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Studies have shown that strengthening the implementation of hand washing by medical staff can reduce the infection rate by 50% [1]
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Use a chlorine-containing disinfectant according to the procedure to disinfect the puncture point, and place the tube after the disinfectant is air-dried naturally
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 Removal of central venous catheterization Catheter-related infections are positively related to catheter placement time.
The longer the catheterization time, the higher the risk of infection
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Therefore, it is necessary to grasp reasonable indications for extubation[2]: (1) The catheter should be removed immediately when it is no longer needed; (2) Emergency catheters that do not guarantee aseptic operation should be removed within 48h; (3) Center within a short period of time The venous catheter placement site should be removed immediately when it is suppurated; (4) When the patient's hemodynamic indicators are unstable and catheter-related bloodstream infection is suspected, it should be replaced immediately
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As a miracle discipline, the prevention and control of ICU central venous catheter-related infections is an effective measure to improve the treatment of patients.
It can continue the light of miracles and give more critically ill patients hope
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 References: [1] Li Shuangling, Wang Dongxin, Wu Xinmin, Jiang Hong.
Nosocomial infection and related death risk factors in surgical intensive care unit[J].
Chinese Journal of Nosocomial Infection, 2006(05):503-507.
[2] Item Xiaoyan.
Research progress on ICU central venous catheter-related infections[J].
Contemporary Nurses (Mid-Shun Magazine),2015(02):5-7.
This article is only used to provide scientific information to medical and health professionals, and does not represent a platform position