ブックタイトルカテーテル関連尿路感染の予防のためのCDCガイドライン 2009｜株式会社メディコン

概要

カテーテル関連尿路感染の予防のためのCDCガイドライン 2009｜株式会社メディコン

Evidence addressing the key questions was used to formulate recommendations, and explicitlinks between the evidence and recommendations are available in the Evidence Review in thebody of the guideline and Evidence Tables and GRADE Tables in the Appendices. It isimportant to note that Category I recommendations are all considered strongrecommendations and should be equally implemented; it is only the quality of the evidenceunderlying the recommendation that distinguishes between levels A and B. Category ICrecommendations are required by state or federal regulation and may have any level ofsupporting evidence.The categorization scheme used in this guideline is presented in Table 1 in the Summary ofRecommendations and described further in the Methods section.The Summary of Recommendations is organized as follows: 1) recommendations for who shouldreceive indwelling urinary catheters (or, for certain populations, alternatives to indwellingcatheters); 2) recommendations for catheter insertion; 3) recommendations for cathetermaintenance; 4) quality improvement programs to achieve appropriate placement, care, andremoval of catheters; 5) administrative infrastructure required; and 6) surveillance strategies.The Implementation and Audit section includes a prioritization of recommendations (i.e., highpriorityrecommendations that are essential for every healthcare facility), organized by modules, inorder to provide facilities more guidance on implementation of these guidelines. A list ofrecommended performance measures that can potentially be used for internal reporting purposesis also included.Areas in need of further research identified during the evidence review are outlined in theRecommendations for Further Research. This section includes guidance for specificmethodological approaches that should be used in future studies.Readers who wish to examine the primary evidence underlying the recommendations are referredto the Evidence Review in the body of the guideline, and the Evidence Tables and GRADE Tablesin the Appendices. The Evidence Review includes narrative summaries of the data presented inthe Evidence Tables and GRADE Tables. The Evidence Tables include all study-level data usedin the guideline, and the GRADE Tables assess the overall quality of evidence for each question.The Appendices also contain a clearly delineated search strategy that will be used for periodicupdates to ensure that the guideline remains a timely resource as new information becomesavailable.原文58 < 原文 > I. Executive Summary