预防成人腹膜透析导管相关感染的最佳证据总结
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女,硕士在读,学生

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浙江省中医药科技计划项目(2023ZL098)


Summary of best evidence for prevention of peritoneal dialysis access-related infections
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    摘要:

    目的 检索、评价并总结预防成人腹膜透析导管相关感染的最佳证据,为临床实践提供指导。方法 系统检索国内外中英文数据库、相关协会网站和指南网中关于预防成人腹膜透析导管相关感染的证据,包括指南、专家共识、临床决策、推荐实践、系统评价、Meta分析和随机对照试验。检索时限为建库至2024年11月16日。由2名研究人员独立对文献进行质量评价,证据提取、分级和汇总。结果 共纳入10篇文献,包括3篇指南、3篇专家共识、2篇临床决策及2篇证据总结。从评估、置管、日常护理、教育培训、质量改进5个方面,共汇总20条最佳证据。结论 成人腹膜透析导管相关感染的最佳证据可为临床实践提供参考,实践中应结合患者的具体情况制订个性化的干预方案,从而实现最佳证据的临床转化。

    Abstract:

    Objective To search, evaluate and summarize the best evidence on the prevention of catheter related infection in adults on peritoneal dialysis (PD), and to provide guidance for clinical practice. Methods Evidence regarding prevention of catheter-related infection in adults on PD, including guidelines, expert consensus reports, clinical decision support statements, recommended practice statements, systematic reviews, meta-analysis and randomized controlled trials, was systematically searched in international and domestic databases from inception up to November 16, 2024. Methodological quality of the literature was evaluated indepen-dently by two researchers, and evidence was extracted, rated and summarized. Results A total of 10 publications met the inclusion criteria, including 3 guidelines, 3 expert consensus reports, 2 clinical decision support statements and 2 evidence summaries. A total of 20 pieces of evidence were summarized from 5 aspects including assessment, catheterization, daily care, education and training, and quality improvement. Conclusion The best evidence on catheter-related infection in adults living with PD can provide reference for clinical practice. It′s better to assess patient′s specific conditions to formulate personalized treatment regimen before evidence translation.

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康静雯,王婷,朱星瑜,黄春香.预防成人腹膜透析导管相关感染的最佳证据总结[J].护理学杂志,2025,40(14):105-109

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  • 收稿日期:2025-02-05
  • 最后修改日期:2025-04-15
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  • 在线发布日期: 2025-08-13