Klinische Padiatrie · 2019
[Update Hygiene: Prevention of Vascular Catheter-Associated Infections in Premature and Newborn Infants].
СтатьяНазвание и аннотация: Перевод в очереди
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Eichel Vanessa, Papan Cihan, Mutters Nico T
Аннотация
BACKGROUND: In May 2018, the commission on infection prevention and control in Germany (KRINKO) of the RKI published a guidance document providing recommendations on the prevention of catheter-associated infections in premature children and newborns.
AIM: Summarized presentation, explanation and discussion of the KRINKO recommendations.
METHODS: The recommendations of the KRINKO were summarized and discussed with reference to the original sources.
RESULTS: In particular, statements were formulated for the insertion and maintenance of vascular catheters and for the preparation of infusions. Overall, however, the evidence of the recommendations is low. About 26% (19 out of 74) are classified under category IA or IB. However, 40% of the recommendations are category II only and therefore based on indicative clinical or epidemiological studies or comprehensible theoretical justifications. Accordingly, there is a lack of urgently needed clinical trials.
DISCUSSION: Prevention strategies were discussed in detail and practical issues were addressed. The high number of recommendations, sometimes with low evidence levels, suggests a shared assessment of the infection control team and clinicians to ensure a successful implementation in practice and a focus on key content adapted to the local situation.
AIM: Summarized presentation, explanation and discussion of the KRINKO recommendations.
METHODS: The recommendations of the KRINKO were summarized and discussed with reference to the original sources.
RESULTS: In particular, statements were formulated for the insertion and maintenance of vascular catheters and for the preparation of infusions. Overall, however, the evidence of the recommendations is low. About 26% (19 out of 74) are classified under category IA or IB. However, 40% of the recommendations are category II only and therefore based on indicative clinical or epidemiological studies or comprehensible theoretical justifications. Accordingly, there is a lack of urgently needed clinical trials.
DISCUSSION: Prevention strategies were discussed in detail and practical issues were addressed. The high number of recommendations, sometimes with low evidence levels, suggests a shared assessment of the infection control team and clinicians to ensure a successful implementation in practice and a focus on key content adapted to the local situation.