血管导管感染的精准化防控:从诊断到治疗的研究进展

Precision prevention and control of vascular catheter-related infections: research progress from diagnosis to treatment

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DOI 10.12208/j.ijcr.20250567
刊名
International Journal of Clinical Research
年,卷(期) 2025, 9(12)
作者
作者单位

1 第九六〇医院疾病预防控制科 山东济南 2 第九六〇医院保健科 山东济南

摘要
导管相关血流感染(CRBSI)是医院感染的重要类型之一,其发生率随着中心静脉导管(CVC)等血管内导管的广泛应用而逐年上升。本文综述了近年来CRBSI治疗方法的研究进展,旨在为临床医护人员提供最新的治疗策略和参考。CRBSI的诊断主要基于临床症状、体征和实验室检查结果。早期诊断和评估是治疗的关键,需通过细菌培养和药敏试验明确病原体,为后续治疗提供依据。近年来,新型治疗方法如免疫调节剂、噬菌体治疗等展现出潜在的应用前景,但仍需进一步研究验证其安全性和有效性。CRBSI的治疗需综合考虑病原体类型、患者状况和感染严重程度,采取个体化治疗方案。
Abstract
Catheter-associated bloodstream infection(CRBSI),a major category of hospital-acquired infections, has seen increasing prevalence with the widespread use of vascular catheters such as central venous catheters(CVC).This review summarizes recent advancements in CRBSI treatment strategies to provide clinicians with updated therapeutic approaches. Diagnosis primarily relies on clinical symptoms, physical signs, and laboratory findings. Early diagnosis and assessment are critical for effective management, requiring pathogen identification through bacterial culture and antimicrobial susceptibility testing to guide subsequent therapies. Emerging treatments like immunomodulators and phage therapy have shown promising potential, though their safety and efficacy require further validation. Treatment decisions should be tailored to individual patients' conditions, pathogen types, and infection severity through comprehensive evaluation.
关键词
导管相关血流感染;治疗方法;研究进展;综述
KeyWord
Catheter-associated bloodstream infection; Treatment methods; Research progress; Summarize
基金项目
页码 34-37
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连锦, 尹丹萍. 血管导管感染的精准化防控:从诊断到治疗的研究进展 [J]. 国际临床研究杂志. 2025; 9; (12). 34 - 37.

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