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)