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2016年5月31日 星期二

2009 NDT--Systematic review of antimicrobials for the prevention of haemodialysis catheter-related infections


2009 NDT--Systematic review of antimicrobials for the prevention of haemodialysis catheter-related infections


Conclusion. The use of AMLs and exit-site antimicrobials are useful measures in the reduction of CRIs, whereas antimicrobial impregnated catheters and peri-operative systemic antimicrobial administration have not been found to be beneficial. Further head-to-head trials of various AMLs and exit-site antimicrobials are needed to know about their comparative clinical efficacy. 

因此,abx lock therapy or exit site abx 是有效預防CRBSI;

但是術前後中後術prophylatic abx或是把catheter浸泡在abx中,似乎沒有benefit for prevention CRBSI

2011 IDSA guideline有提到,如果是dialysis catheter可以考慮使用topical abx,
不過倒是沒有說要用哪種topical abx

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