| 英文摘要 |
The highest infection rate in a hospital usually occurs in the intensive care unit. A central line-associated bloodstream infection (CLABSI) is often likely to result in longer hospitalization and additional consumption of medical resources. This paper reviewed 10 relevant literatures of randomized controlled experimental studies from PudMed, Medline, CINAHL and Cochrane Library between on January 2000 and on June 2010. The subjects of these studies were adults hospitalized in internal medicine and surgery intensive care centers. The relationships between CLABSI and punctured spots, sterilizing solutions, tube materials, tube connectors, and nursing care were reviewed. If CLABSI is taken into consideration, the subclavian vein is recommended as the best puncture spot. As for sterilizing solutions, chlorhexidine-based solution should be the priority choice, followed by alcohol PI-based solution. We hope this article will provide nursing staff with new clinical insight and empirical references for nursing clinical practices as well as for application in future studies. |