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导管相关血流感染CRBSI的防护策略PPT

  • 2026-05-16 19:46:27
导管相关血流感染CRBSI的防护策略PPT

CRBSI是指带有血管内导管的患者出现菌血症，是医院内常见的严重感染，不仅显著增加患者病死率，也加重医疗负担。

在预防上，我们要严格执行手卫生，置管时采用最大无菌屏障。首选锁骨下静脉穿刺，优先使用洗必泰消毒皮肤。日常维护中，要定期更换敷料，保持接头清洁，尽量选用单管腔导管，并每天评估是否需要继续留置。

在治疗上，一旦怀疑CRBSI，需根据病原菌毒力决定是否拔管。对于金黄色葡萄球菌等高毒力病菌，通常建议拔管并进行抗菌治疗。

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  1. CONNECT:[ UseTime:0.001029s ] mysql:host=127.0.0.1;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001538s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000805s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000799s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001612s ]
  6. SELECT * FROM `set` [ RunTime:0.000741s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001696s ]
  8. SELECT * FROM `article` WHERE `id` = 504542 LIMIT 1 [ RunTime:0.001400s ]
  9. UPDATE `article` SET `lasttime` = 1779469314 WHERE `id` = 504542 [ RunTime:0.016661s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.002842s ]
  11. SELECT * FROM `article` WHERE `id` < 504542 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.001241s ]
  12. SELECT * FROM `article` WHERE `id` > 504542 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.001133s ]
  13. SELECT * FROM `article` WHERE `id` < 504542 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.004997s ]
  14. SELECT * FROM `article` WHERE `id` < 504542 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.002082s ]
  15. SELECT * FROM `article` WHERE `id` < 504542 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.001913s ]
0.248566s