КАТЕТЕР-АССОЦИИРОВАННЫЕ ИНФЕКЦИИ КРОВОТОКА В ИНТЕНСИВНОЙ ТЕРАПИИ – СОВРЕМЕННОЕ СОСТОЯНИЕ ПРОБЛЕМЫ
Аннотация
Эффективное лечение пациентов отделения интенсивной терапии тесно связано с необходимостью формирования временного или постоянного сосудистого доступа для проведения заместительной почечной терапии, инфузионно-трансфузионной терапии и мониторинга состояния пациента. Используемые для этого устройства – внутрисосудистые катетеры – представляют возможную угрозу для пациента, поскольку создают вероятность доступа микроорганизмов в системный кровоток, успешно нивелируя естественные механизмы защиты. В обзоре рассмотрены значимые факторы и патогенетические механизмы, приводящие к реализации инфекционного потенциала при наличии сосудистого катетера в кровотоке – катетер-ассоциированной инфекции, а также возможности диагностики, подходы к патогенетически обоснованной терапии и комплексной профилактике с позиции достижений современной медицинской науки и практики.
Литература
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