3M™ Curos™ 消毒保護帽為內含酒精(異丙醇IPA)的管路消毒裝置,可旋轉安裝在靜脈輸液導管接口處,用於消毒與防止污染物感染。
每件Curos™ 消毒產品內含70%的異丙醇(IPA),施用1分鐘即可消毒導管接口。
衛部醫器輸字第030149號、北市衛器廣字第107030224號
3M™ Curos™ 消毒保護帽可協助降低導管接口的感染風險。
點選小綠點了解更多3M™ Curos™ 消毒保護帽應用領域
管路接口的一般消毒方式為護理人員使用酒精棉片擦洗注射帽,與人為消毒程序相較,3M™ Curos™ 消毒保護帽可提供以下效益:
3M™ Curos™ 消毒保護帽為內含酒精(異丙醇IPA)的產品,可提供快速的被動式消毒,節省護理人員的時間,移除保護帽後,即可直接對接管路。
3M™ Curos™ 消毒保護帽為接口處提供保護屏障,可防止外來污染物混入,保護效果最長可達7天。
當3M™ Curos™ 消毒保護帽已妥善旋轉安裝後,即可提供穩定一致的消毒效果。
3M™ Curos™ 消毒保護帽採用明亮顏色,方便醫療人員迅速查看管路接口狀態。
下載全球輸液治療實踐標準(Infusion Therapy Standards of Practice)2016年版快速導覽 (僅限專業醫療人員索取)
全球輸液治療實踐標準(Infusion Therapy Standards of Practice)─2016年版
第34.2條 - 在無針連接器接上管路前皆應進行消毒。(Disinfect needleless connectors prior to each entry into the device.)
實踐標準 C─ 醫護人員應了解無針連接器是管路內微生物汙染的潛在位置之一,因此應謹慎遵循相關消毒程序(Recognize that needleless connectors are potential sites for intraluminal microbial contamination and require careful adherence to infection prevention practices) (Level IV)
無針連接器在使用前應該以酒精、碘酒或葡萄糖酸氯己定(CHG)與酒精混合液持續徹底地消毒。(Needleless Connectors “Should be consistently and thoroughly disinfected using alcohol, tincture of iodine, or chlorhexidine gluconate/alcohol combination prior to each access.”)
實踐標準 G– 內含消毒液(例如:異丙醇 isopropyl alcohol)的消毒保護帽裝置為被動式消毒,此方式已經證實可減少管路內微生物汙染且能降低中心導管相關血流感染(CLABSI)的發生率。使用消毒保護帽裝置於周邊靜脈導管的實證案例目前較少,但建議可考慮採用。(The use of passive disinfection caps containing disinfecting agents (e.g., isopropyl alcohol) has been shown to reduce intraluminal microbial contamination and reduce the rates of central line-associated bloodstream infection (CLABSI). Use of disinfection caps on peripheral catheters has limited evidence but should be considered.)
實踐標準 I– 醫護人員應確認管路消毒裝置可於病床周邊容易取得,此舉可提升無針連接器確實消毒的遵循度。(Ensure that disinfecting supplies are readily available at the bedside to facilitate staff compliance with needleless connector disinfection.) (Level V)
美國健康照護流行病學學會(SHEA) 2014年更新建議
宜使用內含消毒液的消毒保護帽等裝置來覆蓋管路連接器(Use an antiseptic-containing hub/connector cap/port protector to cover connectors.)
(quality of evidence: 1-highest level)
我們希望醫療人員每次使用3M™ Curos™ 消毒保護帽的經驗皆能成功順利,3M同仁很樂意協助醫療院所推廣3M™ Curos™ 消毒保護帽的使用,協助您維持管路消毒程序的遵循度。
*欲了解更多有關中心導管相關血流感染(CLABSI)主題的討論,請參照:
Sievert, D. M., Ricks, P., Edwards, J. R., Schneider, A., Patel, J., Srinivasan, A., . . . Fridkin, S. (2013). Antimicrobial-Resistant Pathogens Associated with Healthcare-Associated Infections: Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2009–2010. Infection Control & Hospital Epidemiology, 34(01), 1-14. doi:10.1086/668770
**資料根據3M™ Curos™ 消毒保護帽的體外測試研究
1. Merrill, et. Al, Impact of Universal Disinfectant Cap Implementation on Central Line-Associated Bloodstream Infections. American Journal of Infection Control. December 2014: Volume 40 (12)
2. Cameron-Watson. Port Protectors in Clinical Practice: An Audit. British Journal of Nursing: (IV Therapy Supplement). 2016: Vol 25 (8)
3. Forcing the Function: Implementation and Evaluation of an IV Port Protector to Decrease CLABSI. Legacy Health, Portland, Oregon: Mary Davis, BSN, RN, CCRN