以质量求发展，以服务铸品牌

Journal of Nursing ›› 2025, Vol. 32 ›› Issue (5): 59-64.doi: 10.16460/j.issn1008-9969.2025.05.059

Previous Articles     Next Articles

Quality evaluation and content analysis of guidelines and consensus on prevention of haemodialysis catheter-related bloodstream infections

CHEN Qingqinga, CAO Xiaomeib, ZHANG Zhujunc, ZHU Qiulid, CHEN Jingmeia   

  1. a. Dept. of Nursing Administration; b. Dept. of Hemodialysis; c. Dept. of Otolaryngology; d. Dept. of Orthopedics, Xiamen Chang Gung Hospital, Xiamen 361028, China
  • Received:2024-05-07 Online:2025-03-10 Published:2025-05-06

PDF (PC)

1

Like

Abstract: Objective To evaluate and analyze domestic and international guidelines and expert consensus on the prevention of hemodialysis catheter-related bloodstream infections (CRBSIs), and to provide guidance for clinical practice. Methods Systematic search of domestic and international databases, guideline websites and websites of professional associations was conducted to screen the guidelines and expert consensus on hemodialysis CRBSIs, and the AGREE II and JBI evaluation tools were used to evaluate and analyze the contents. Results A total of 8 guidelines and 4 expert consensus were included, of which 5 guidelines were recommended as grade B, 3 guidelines as grade C, and all 4 expert consensus as being recommended. The average score range of guideline standardization was 55.21% for scope and purpose, 36.11% for participants, 31.05% for rigor of formulation, 58.33% for clarity of expression, 27.48% for applicability, 50.52% for editorial independence, and 52.60% for overall quality. Content analysis was conducted in all grade-B guidelines and recommended expert consensus and six topics were summarized as tube placement, catheter maintenance, other infection prevention measures, catheter removal, health education, training and quality control, with a total of 45 recommendations. Conclusion The current domestic and international guidelines on the prevention of hemodialysis CRBSIs are of moderate quality, and need to be improved in terms of participants involved in their development, the rigor of development process, and their applicability.

Key words: hemodialysis, catheter-associated bloodstream infection, guideline, expert consensus, content analysis

CLC Number: 

  • R459.5
[1] 中心静脉血管通路装置安全管理专家组. 中心静脉血管通路装置安全管理专家共识(2019 版)[J].中华外科杂志,2020,58(4):261-272. DOI:10.3760/cma.j.cn112139-20191226-00638.
[2] 袁美娇, 王春艳, 蔡学联. 我国中心静脉导管相关性血流感染研究的文献计量学分析[J]. 护士进修杂志, 2019,34(7):602-605.DOI:10.16821/j.cnki.hsjx.2019.07.006.
[3] 中华人民共和国国家卫生健康委员会.国家卫生健康委办公厅关于印发2023年国家医疗质量安全改进目标的通知[EB/OL].(2023-02-28)[2023-12-02].http://.www.nhc.gov.cn/yzygj/s7657/202302/a61fc382f3b64c7e99dafbf8cf4da8a1.shtml.
[4] 中华人民共和国国家卫生健康委员会.国家卫生健康委办公厅关于印发2024年国家医疗质量安全改进目标的通知[EB/OL]. (2024-02-01)[2024-02-05].http://www.nhc.gov.cn/yzygj/s7657/202402/6aea7c6510da48a6b50e84417b4f30a3.shtml.
[5] 豆欣蔓, 谢琪, 张丽红, 等. 经隧道式中心静脉导管行血液透析导管相关血流感染发病率及危险因素的系统评价与Meta分析[J]. 中国血液净化, 2023,22(3):214-220.DOI:10.3969/j.issn.1671-4091.2023.03.013.
[6] Grooth HJd, Timsit J-F, Mermel L, et al.Validity of surrogate endpoints assessing central venous catheter-related infection: evidence from individual and study-level analyses[J]. Clin Microbiol Infect,2020,26(5):563-571.DOI:10.1016/j.cmi.2019.09.022.
[7] 雷常彬, 刘珊珊, 蒋艳. 导管相关血流感染指南的质量评价及内容分析[J]. 护理学报, 2021,28(23):47-52.DOI:10.16460/j.issn1008-9969.2021.23.047.
[8] 周文华, 李峥, 史冬雷, 等. 2004~2014年预防中心静脉导管相关血行感染的指南评价[J]. 护理学杂志, 2017,32(2):98-103.
[9] Dicenso A, Bayley L, Haynes RB.Accessing pre-appraised evidence: fine-tuning the 5S model into a 6S model[J]. Evid Based Nurs, 2009, 12(4):99-101.DOI:10.1136/ebn.12.4.99-b.
[10] Brouwers MC, Kho ME, Browman GP, et al.AGREE II: advancing guideline development, reporting and evaluation in health care[J]. CMAJ, 2010,182(18):E839-842.DOI:10.1503/cmaj.090449.
[11] The Joanna Briggs Institute(JBI). Critical Appraisal Checklist for Text and Opinion(JBI)[EB/OL].(2017-11-24)[2024-01-02].http://joannabriggs.org/research/critical-appraisal-tools.html.
[12] 刘杨, 罗健, 朱佩佩, 等. 髋部手术患者术后康复指南的质量评价及内容分析[J]. 护理学报, 2021,28(12):56-61.DOI:10.16460/j.issn1008-9969.2021.12.056.
[13] 邱均平, 邹菲. 关于内容分析法的研究[J]. 中国图书馆学报, 2004(2):14-19.DOI:10.3969/j.issn.1001-8867.2004.02.002.
[14] 潘晓平, 倪宗瓒. 组内相关系数在信度评价中的应用[J]. 华西医科大学学报, 1999(1):62-63;67.
[15] Association for Professionals in Infection Control and Epidemiology (APIC). Guide to preventing central line-associated bloodstream infections[EB/OL].(2015-11-01)[2024-01-02]. https://apic.org/guide-to-preventing-central-line-associated-bloodstream-infections-4/.html.
[16] Ling ML, Apisarnthanarak A, Jaggi N, et al.APSIC guide for prevention of Central Line Associated Bloodstream Infections (CLABSI)[J]. Antimicrob Resist Infect Control, 2016(5):1-16.DOI:10.1186/s13756-016-0116-5.
[17] Centers for Disease Control and Prevention (CDC). Guidelines for the prevention of intravascular catheter-related infections[EB/OL].(2017-10-01)[2024-01-02].https://www.cdc.gov/infectioncontrol/guidelines/bsi/index.html.
[18] Cheng YL, Tang HL, Tong MKL.Clinical practice guidelines for the provision of renal service in Hong Kong: haemodialysis[J]. Nephrology (Carlton), 2019(Suppl 1):41-59.DOI:10.1111/nep.13498.
[19] Lok CE, Huber TS, Lee T, et al.KDOQI clinical practice guideline for vascular access: 2019 update[J]. Am J Kidney Dis, 2020,75(4 Suppl 2):S1-S164.DOI:10.1053/j.ajkd.2019.12.001.
[20] Gorski LA, Hadaway L, Hagle ME, et al.Infusion therapy standards of practice, 8th edition[J]. J Infus Nurs, 2021,44(1S Suppl 1):S1-S224.DOI:10.1097/NAN.0000000000000396.
[21] 国家卫生健康委办公厅医政医管局.血管导管相关感染预防与控制指南(2021版)[EB/OL].(2020-03-30)[2024-01-14].http://www.nhc.gov.cn/yzygj/s7659/202103/dad04cf7992e472d9de1fe6847797e49.shtm1.
[22] Buetti N, Marschall J, Drees M, et al.Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 update[J]. Infect Control Hosp Epidemiol, 2022,43(5):553-569.DOI:10.1017/s0899823x00193870.
[23] 中国医院协会血液净化中心分会血管通路工作组. 中国血液透析用血管通路专家共识(第2 版)[J].中国血液净化,2019,18(6):365-381.DOI:10.3969/j.issn.1671-4091.2019.06.001.
[24] 孙红, 陈利芬, 郭彩霞,等. 临床静脉导管维护操作专家共识[J]. 中华护理杂志,2019,54(9):1334-1342.DOI:10.3761/j.issn.0254-1769.2019.09.011.
[25] 陈静, 向晶, 接艳青, 等. 血液透析安全注射临床实践专家共识[J]. 中华护理杂志, 2022,57(7):785-790.DOI:10.3761/j.issn.0254-1769.2022.07.003.
[26] 周芬, 郝玉芳, 丛雪, 等. 指南研究与评价工具AGREE Ⅱ及各领域分值的补充解释及思考[J]. 护理学报, 2018,25(18):56-58.
[1] CAI Ying-ying, LING Chen, LIU Mian-zhu, ZHOU Jie, ZHANG Jun-feng, CHEN Lian-hua, TIAN Xiao-fei, LUO Bin, CHEN Meng-yun. Methodological quality assessment of guidelines for assessment and management of adult cancer pain [J]. Journal of Nursing, 2025, 32(4): 34-40.
[2] LIU Shuo-yi, XIONG Li-juan, LI Ling, WANG Yu-mei, HE Jia, LI Xin, YUAN Shi-lei, GUO Xue-qin, WANG Yang-jing, ZHANG Hui-juan. Quality evaluation and content analysis of clinical practice guidelines for prevention and management of frailty in elderly hospitalized patients [J]. Journal of Nursing, 2025, 32(2): 50-55.
[3] NI Le-feng, LIU Lin, SHEN Chun-hua, QIAO Yao, ZHOU Liang, ZHU Qiang, GONG Wei-juan. Quality evaluation and content analysis of guidelines for time limit management in transfusion nursing [J]. Journal of Nursing, 2024, 31(7): 51-56.
[4] CHEN Li-yan, RENG Jun, DONG Hui, CHEN Mu-ying, LU Wei-xiang. Quality evaluation and content analysis of guidelines for hypoglycemia management in adults with diabetes [J]. Journal of Nursing, 2024, 31(22): 41-47.
[5] YU Feng-xia, YU Yuan. Expert consensus on surgical nursing in enhanced recovery after surgery for esophageal cancer during perioperative period [J]. Journal of Nursing, 2024, 31(17): 61-65.
[6] YANG Zhong-shan, ZHANG Li-hua, XU Ni-na, ZHAN Yu-xin, OU Yang-yan, WANG Xian-ke, LIU Miao, LI Peng-fei. Quality evaluation and content analysis of nursing guidelines for neurogenic bowel dysfunction after spinal cord injury [J]. Journal of Nursing, 2024, 31(16): 44-49.
[7] SHEN Wei, QIN Yue-lan, LIU Wang-xing, HU Zheng-zhong, LIU Feng, YAO Ru-fan, YANG Ke, JIANG Wen-hui. Qualitative research on development of core competence of hemodialysis expert patients [J]. Journal of Nursing, 2024, 31(14): 13-18.
[8] DAI Rong-qin, LIU Yu-zhi, CHEN Yang, ZHANG Jin-biao, GUO Zhen-bin, LI Wei, GUO Dong-hui, GAO Feng, LU Yue. Interpretation of thrombosis indicators and prevention and treatment suggestions in the Guidelines for Quality Evaluation and Management of Intravenous Thromboembolism in Hospitals (2022 Edition) [J]. Journal of Nursing, 2024, 31(13): 35-39.
[9] HAN Xiao-ling, HE Jin-ai, GENG Bing-bing, WANG Xue-mei, FENG Ying-pu, YE Qiao, FENG Jian-yu. Expert consensus on perioperative protective restraint in interventional therapy for severe stroke patients [J]. Journal of Nursing, 2024, 31(10): 37-42.
[10] LU Jing-hua, TAO Hui-qin, ZHANG Jie-ting, LIU Ai-qun, CHEN Jing-ying, CHEN Jian-min, ZHOU Hong-zhen. Current status of aneurysmal dilatation at puncture segment of arteriovenous fistula in maintenance hemodialysis patients and its influencing factors: a 306-case study [J]. Journal of Nursing, 2024, 31(10): 59-63.
[11] LIU Xue, LI Guo-xin, ZHANG Guang-qing, LI Ying-na, LIU Wan-shan, XIAO Juan. Current status of psychological resilience of caregivers of patients with maintenance hemodialysis and its influencing factors: a 220-case study [J]. Journal of Nursing, 2023, 30(8): 63-68.
[12] BU Si-si, LI Yu-hong, DING Li-xue, LI Wen-juan. Quality evaluation and content analysis of guidelines of physical activity for pregnant women [J]. Journal of Nursing, 2023, 30(4): 49-54.
[13] HE Wan-qiao, GAI Wei, ZHOU Chun-lan, ZHANG Yi-zhen, TAO Yan-ling. Current status of quality of life of maintenance hemodialysis patients from perspective of positive psychology and its influencing factors [J]. Journal of Nursing, 2023, 30(2): 12-16.
[14] XUE Cui-cui, TENG Hong-xu, ZHANG Rong, LIU Hua-ping, TIAN Jian-li. Policies for sinking of high-quality nursing resources in China: a textual analysis [J]. Journal of Nursing, 2023, 30(17): 20-23.
[15] LIU Xue-qin, LIU Xiao-hui, PING Zhi-guang. Construction and validation of risk prediction model and online calculator for malnutrition in maintenance hemodialysis patients [J]. Journal of Nursing, 2023, 30(16): 12-18.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!