血液透析患者移植物动静脉内瘘感染预防及管理的最佳证据总结
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女,本科,护师

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华中科技大学同济医学院第二临床学院教学研究基金立项项目(2022051)


Evidence summary on the prevention and management of arteriovenous graft infection in hemodialysis patients
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    摘要:

    目的 系统检索血液透析患者移植物动静脉内瘘感染预防及管理的相关证据,为临床实践提供参考。方法 检索中英文循证资源数据库、指南网站、专业学会/协会网站及文献数据库中关于血液透析患者移植物动静脉内瘘感染预防及管理的相关文献,包括临床决策、指南、系统评价、证据总结、专家共识以及原始研究,检索时限为建库至2024年1月22日。结果 最终纳入文献16篇,包括指南9篇、专家共识2篇、证据总结1篇、临床决策2篇、系统评价1篇和队列研究1篇。从感染风险因素、围手术期感染防控、规范穿刺操作、日常维护宣教、感染的识别与处理以及持续质量改进6个方面共汇总33条证据。结论 移植物动静脉内瘘感染预防及管理最佳证据可为临床实践提供循证支持,建议医护人员应用证据时结合具体临床情境,制订个体化的感染预防及管理方案,以有效降低移植物动静脉内瘘感染。

    Abstract:

    Objective To systematically retrieve the relevant evidence on the prevention and management of arteriovenous graft (AVG) infection in hemodialysis patients, and to provide reference for clinical practice.Methods Clinical decision support statement, guideline, systematic review, evidence summary, expert consensus report, and original research were searched in evidence-based resources, guideline websites, websites of professional societies or organizations, and bibliographic databases from database inception until January 22, 2024.Results A total of 16 publications were eligible, including 9 guidelines, 2 expert consensus reports, 1 evidence summary, 2 clinical decision support statements, 1 systematic review, and 1 cohort study. Thirty-three pieces of best evidence were summarized into 6 aspects:risk factors, perioperative infection prevention and control, standardized puncture procedures, health education for daily maintenance, identification and treatment of infection, and continuous quality improvement.Conclusion This study provides the best evidence for the prevention and management of AVG infection.It is recommended that healthcare professionals should consider specific clinical situations when translating the evidence into practice, and develop indivi-dualized infection prevention and management protocols, in an effort to decrease AVG infection.

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邵忠雯,童辉,鄢建军,张仲华,杨建国.血液透析患者移植物动静脉内瘘感染预防及管理的最佳证据总结[J].护理学杂志,2024,39(23):105-110

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  • 收稿日期:2024-06-02
  • 最后修改日期:2024-08-20
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  • 在线发布日期: 2025-01-09