2020年3月16日(月)
Interpretation Of Sensory Experts: Application Of Needleless Connector
With the continuous upgrade of drug-resistant bacteria, each puncture and indwelling every day may increase the incidence of catheter-related bloodstream infections. For patients, vascular access is a life-saving pathway, not a fatal dead end! So, how to choose the infusion connector and how to carry out routine maintenance to effectively reduce the incidence of catheter-related bloodstream infections?
Intravenous infusion is an important way of clinical treatment, covering parenteral infusion, nutritional support, medication and infusion treatment, so it is widely used. Antibiotics are also widely used in clinical practice. Its invention can be described as a pioneering act of the 20th century. However, in recent years, bacterial resistance has also been continuously emerging and upgraded. For penicillin drugs, the original powerful effect is now inadequate.
It is frightening that when multi-drug resistant bacteria encounter vascular access, each puncture and indwelling every day will increase the incidence of catheter-related bloodstream infections, bring more harm to patients, and the mortality rate can even reach 45.3%. Vascular access should be a life-saving channel, not a fatal dead end. So, how to choose the infusion connector and how to carry out routine maintenance to effectively reduce the incidence of catheter-related bloodstream infections?
Why emphasize the choice of needleless connectors?
30% of catheter-related infections are caused by contamination of the catheter connector [2]. Among them, incomplete disinfection and flushing of the joint is one of the important reasons for the blocked pipe and the bacterial value, which is also greatly related to the design of the needleless joint itself.
Before each connection is used, it is necessary for nurses to wipe the surface of the connector with a mechanical method for 5 to 60 seconds. The purpose is to reduce bacterial contamination on the surface of the connector. However, if the surface of the joint is uneven or not tight, there are grooves or gaps. Then, you can't clean it thoroughly with hard and long-lasting wiping.
In addition, flushing the joint is also a necessary operation before and after each use, in order to rinse the drug, blood or other nutrients remaining in the joint, so as to avoid providing strong conditions for bacterial colonization. However, if the joint is opaque and no flushing effect is observed, then for substances that are not easily flushed, such as blood, high-viscosity liquids, lipid-containing nutritional preparations, etc., there may be flushing in place, increasing catheter blockage and bacterial colonization, Risk of infection.
Therefore, as pointed out in the Expert Consensus on Best Nursing Practices for the Prevention and Control of Catheter-Related Infection: Although it is not clear that certain types of needle-free infusion joints have advantages in preventing CLABSI and thrombotic occlusion, the smooth surface of the infusion The joints are easier to sterilize, and the transparent structure joints are easy to see the flushing effect.
In addition, by selecting the indwelling needle with a removable and replaceable pre-connected infusion connector, you can also replace the connector immediately when necessary to reduce the incidence of infection, such as the discovery of blood or other residues in the needle-free connector, When the connector or other additional device is removed or suspected of contamination, the original catheter is retained and unnecessary secondary puncture is performed on the patient.
Studies show that 71% of catheter-related bloodstream infections occur on the fifth day after implantation, suggesting that the biggest factor that causes CLABSI is during maintenance.
Sealing tube management is an important operation for daily catheter maintenance, and it is also one of the important links to prevent catheter blockage and blood flow related infections. Compared with using a disposable syringe to manually pump the flushing solution, using a pre-filled syringe directly can save the preparation time of the flushing solution, can also ensure the aseptic technique, and reduce the catheter or liquid contamination caused by the hands of the nursing staff. Due to the huge clinical use of vascular access, the problem of infection cannot be overlooked. Among them, the reasonable selection and standardized management of infusion tools are particularly important. Selecting infusion connectors with smooth surfaces, transparent shells, and detachable, and using pre-filled flushers to perform routine catheter maintenance can effectively control the occurrence of catheter-related bloodstream infection Let life channel fulfill its mission.
Yuhuan Shengjiu Mould Co., Ltd. is one of the professional China medical mould manufacturers who produce needleless joints. Needleless Injection Site for medical applications. We have strict quality control throughout the production process of our products, making our products a safe choice for everyone. Welcome to buy: https://www.medicalmould.net/product/
Intravenous infusion is an important way of clinical treatment, covering parenteral infusion, nutritional support, medication and infusion treatment, so it is widely used. Antibiotics are also widely used in clinical practice. Its invention can be described as a pioneering act of the 20th century. However, in recent years, bacterial resistance has also been continuously emerging and upgraded. For penicillin drugs, the original powerful effect is now inadequate.
It is frightening that when multi-drug resistant bacteria encounter vascular access, each puncture and indwelling every day will increase the incidence of catheter-related bloodstream infections, bring more harm to patients, and the mortality rate can even reach 45.3%. Vascular access should be a life-saving channel, not a fatal dead end. So, how to choose the infusion connector and how to carry out routine maintenance to effectively reduce the incidence of catheter-related bloodstream infections?
Why emphasize the choice of needleless connectors?
30% of catheter-related infections are caused by contamination of the catheter connector [2]. Among them, incomplete disinfection and flushing of the joint is one of the important reasons for the blocked pipe and the bacterial value, which is also greatly related to the design of the needleless joint itself.
Before each connection is used, it is necessary for nurses to wipe the surface of the connector with a mechanical method for 5 to 60 seconds. The purpose is to reduce bacterial contamination on the surface of the connector. However, if the surface of the joint is uneven or not tight, there are grooves or gaps. Then, you can't clean it thoroughly with hard and long-lasting wiping.
In addition, flushing the joint is also a necessary operation before and after each use, in order to rinse the drug, blood or other nutrients remaining in the joint, so as to avoid providing strong conditions for bacterial colonization. However, if the joint is opaque and no flushing effect is observed, then for substances that are not easily flushed, such as blood, high-viscosity liquids, lipid-containing nutritional preparations, etc., there may be flushing in place, increasing catheter blockage and bacterial colonization, Risk of infection.
Therefore, as pointed out in the Expert Consensus on Best Nursing Practices for the Prevention and Control of Catheter-Related Infection: Although it is not clear that certain types of needle-free infusion joints have advantages in preventing CLABSI and thrombotic occlusion, the smooth surface of the infusion The joints are easier to sterilize, and the transparent structure joints are easy to see the flushing effect.
In addition, by selecting the indwelling needle with a removable and replaceable pre-connected infusion connector, you can also replace the connector immediately when necessary to reduce the incidence of infection, such as the discovery of blood or other residues in the needle-free connector, When the connector or other additional device is removed or suspected of contamination, the original catheter is retained and unnecessary secondary puncture is performed on the patient.
Studies show that 71% of catheter-related bloodstream infections occur on the fifth day after implantation, suggesting that the biggest factor that causes CLABSI is during maintenance.
Sealing tube management is an important operation for daily catheter maintenance, and it is also one of the important links to prevent catheter blockage and blood flow related infections. Compared with using a disposable syringe to manually pump the flushing solution, using a pre-filled syringe directly can save the preparation time of the flushing solution, can also ensure the aseptic technique, and reduce the catheter or liquid contamination caused by the hands of the nursing staff. Due to the huge clinical use of vascular access, the problem of infection cannot be overlooked. Among them, the reasonable selection and standardized management of infusion tools are particularly important. Selecting infusion connectors with smooth surfaces, transparent shells, and detachable, and using pre-filled flushers to perform routine catheter maintenance can effectively control the occurrence of catheter-related bloodstream infection Let life channel fulfill its mission.
Yuhuan Shengjiu Mould Co., Ltd. is one of the professional China medical mould manufacturers who produce needleless joints. Needleless Injection Site for medical applications. We have strict quality control throughout the production process of our products, making our products a safe choice for everyone. Welcome to buy: https://www.medicalmould.net/product/
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