心脏植入型电子设备相关感染预防及管理的最佳证据总结
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女,本科,主管护师,护士长

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华中科技大学同济医学院附属同济医院科研基金护理专项(2022D09)


Best evidence summary for the prevention and management of infections related to cardiac implantable electronic devices
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    目的 系统总结心脏植入型电子设备相关感染的预防及管理的最佳证据,为临床预防相关感染制订防控策略提供参考。方法 基于“6S”循证模型,检索2015-2025年国内外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心脏植入型电子设备相关感染预防及管理的相关文献。结果 纳入20篇文献,其中系统评价12篇、随机对照试验2篇、指南1篇、专家共识4篇及临床决策1篇。提炼出30条最佳证据,包括感染风险评估、术前准备、术中操作、术后换药、患者教育与随访6个方面。结论 总结的心脏植入型电子设备相关感染预防及管理的最佳证据全面、实用,建议临床实践中依据患者具体情况应用并完善。

    Abstract:

    Objective To systematically synthesize the best evidence on the prevention and management of cardiac implantable electronic device (CIED)related infections, and to provide a reference for developing clinical infection prevention and control strategies.Methods Based on the "6S" evidence-based model, Chinese and English databases, guideline repositories, professional society websites, and evidence-based literature sources were searched for studies published between 2015 and 2025 concerning the prevention and management of CIED-related infections.Results A total of 20 publications were included, comprising 12 systematic reviews, 2 randomized controlled trials, 1 guideline, 4 expert consensus reports, and 1 clinical decision document.Thirty items of best evidence were extracted, covering six major aspects:infection risk assessment, preoperative preparation, intraoperative procedures, postoperative dressing management, patient education, and follow-up care.Conclusion The summarized best evidence on the prevention and management of CIED-related infections is comprehensive and practical.It is recommended that clinical practitioners apply and refine these evidence-based strategies according to individual patient conditions to optimize infection prevention and management outcomes.

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万琼,程捷,兰兰,胡迪,杨伟梅,汪璐芸.心脏植入型电子设备相关感染预防及管理的最佳证据总结[J].护理学杂志,2025,(23):115-120

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  • 收稿日期:2025-07-09
  • 最后修改日期:2025-09-10
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  • 在线发布日期: 2026-01-14