Abstract：
Intravascular devices are essential for the diagnostic and therapeutic approach to multiple diseases in paediatrics, and central venous catheters (CVCs) are especially important. One of the most frequent complications is the infection of these devices, which is associated with a high morbidity and mortality. These infections are highly complex, requiring the use of substantial resources, both for their diagnosis and treatment, and affect vulnerable paediatric patients admitted to high-complexity units more frequently. There is less evidence on their management in paediatric patients compared to adults, and no consensus documents on the subject have been published in Spain. The objective of this document, developed jointly by the Spanish Society of Paediatric Infectious Diseases (SEIP) and the Spanish Society of Paediatric Intensive Care (SECIP), is to provide consensus recommendations based on the greatest degree of evidence available to optimize the diagnosis and treatment of catheter-related bloodstream infections (CRBSIs). This document focuses on non-neonatal paediatric patients with CRBSIs and does not address the prevention of these infections.
摘要：
血管内设备对于儿科多种疾病的诊断和治疗方法至关重要。和中心静脉导管（CVC）尤为重要。最常见的并发症之一是这些设备的感染，这与高发病率和死亡率有关。这些感染非常复杂，需要使用大量资源，对于他们的诊断和治疗，并更频繁地影响入住高复杂性病房的弱势儿科患者。与成年人相比，儿科患者的管理证据较少，西班牙没有发表关于这一主题的共识文件。本文件的目的，由西班牙儿科传染病学会（SEIP）和西班牙儿科重症监护学会（SECIP）联合开发，旨在基于可获得的最大程度的证据提供共识建议,以优化导管相关性血流感染(CRBSI)的诊断和治疗。本文件侧重于CRBSIs的非新生儿儿科患者，没有涉及这些感染的预防。
