周邊置入中心靜脈導管：減少感染及保護血管

Peripherally Inserted Central Catheter (PICC): Reducing Infection and Preserving Vascular Integrity

周邊置入中心靜脈導管（peripherally inserted central catheter簡稱PICC）適宜使用於需維持靜脈導管通路數週至數月間的病患，或任何需要中心靜脈管路的病患。選擇PICC有助於降低中心導管相關的血流感染（central line-associated bloodstream infection）率，也可以保護血管減少藥物滲漏風險。最重要的觀念是在病患的臨床狀況發生時，應依照其所需使用的藥物和「預期」需使用的時間及早選擇最適當的靜脈導管，並遵循預防感染的組合式照護（bundle care）以降低中心導管相關的血流感染。

A peripherally inserted central catheter (PICC) is appropriate for patients requiring venous access for several weeks to months or for those requiring central venous access. Utilization of a PICC can lower the incidence of central line-associated bloodstream infections (CLABSIs) and safeguard vessels from the risks associated with drug leakage. Selection of the most suitable venous catheter early, based on the patient’s clinical condition, required medication, and anticipated duration of use, is crucial. Adherence to bundle care protocols is essential to minimize the occurrence of CLABSIs.