ﻲﻘﺘﻤﻟﺍ ﺔﻔﻴﻄﻟ :ﺔﻤﺟﺮﺘﻟﺍ Latifa El Moutaqi
Collaboratrice Centro EBN - Direzione Servizio Infermieristico Azienda Ospedaliero- Universitaria di Bologna Via Massarenti, 9 40138 Bologna, Italia www.evidencebasednursing.it
ﺕﺎﺳﺭﺎﻤﻤﻟﺍ ﻞﻀﻓ ﺃ
ﺔﻴﻄﻴﺤﻤﻟﺍ ﺔﻳﻮﻣ ﺪﻟﺍ ﺔﻴﻋﻭﻻﺍ ﻞﺧﺍﺩ ﺓﺰﻬﺟ ﻻﺍ ﺓﺭﺍﺩﺇ
ﺕﺎﻴﺻﻮﺘﻟﺍ ﺔﺟﺭﺩ
ﻩﺬﻫ ﻟﺍ ﻲﻫ ﺕﺎﺟﺭﺪ ﻴﺻﻮﺗ
ﺕﺎ ﺖﻌﺿﻭ
ﺍﺩﺎﻨﺘﺳﺍ ﺎﻬﺘﻴﻟﺎﻌﻔﻟ ﻦﻣ
ﻑﺮﻃ ﺰﺠﻳﺮﺑ ﺎﻧﺍﻮﺟ ﺔﻨﺳ ﺪﻬﻌﻤﻟﺎﺑ
2006
.ﻖﻴﺒﻄﺘﻟﺍ ﻖﺤﺘﺴﺗ ﻲﺘﻟﺍ ﺔﻳﻮﻗ ﺔﻟﺩﺃ : ﺃ ﺔﺟﺭﺩ ﺎﻬﻘﻴﺒﻄﺗ ﻲﻓ ﺮﻈﻨﻟﺍ ﻲﻋﺪﺘﺴﺗ ﻲﺘﻟﺍﺍ ﺔﻟﺪﺘﻌﻤﻟﺍ ﺔﻟﺩﻻﺍ : ﺏ ﺔﺟﺭﺩ .ﺔﻟﺩﻻﺍﺍﺩﻮﺟﻭ ﻡﺪﻋ : ﺝ ﺔﺟﺭﺩ
ﺕﺎﻴﺻﻮﺘﻟﺍ
ﻪﻴﺟﻮﺘﻟﺍ ﻭﺮﻤﺘﺴﻤﻟﺍ ﻢﻴﻠﻌﺘﻟﺍ ﻰﻟﺍ ﺔﺟﺎﺣ ﻲﻓ ﻢﻫ ﺔﺤﺼﻟﺍ ﻲﻔﺿﻮﻣ ﻞﺧﺍﺩ ﺯﺎﻬﺠﻟﺍ ﻝﺎﺧﺩﺈﺑ ﺮﻣﻷﺍ ﻖﻠﻌﺘﻳ ﺎﻣﺪﻨﻋ ﺎﺻﻮﺼﺧ ﻢﻴﻴﻘﺘﻟﺍ ﻭ ﺹﺎﺨﺷﻻﺍ ﻦﻴﻴﻌﺗ ﻞﻀﻓﻷﺍ ﻦﻣ ﺫﺇ ﺔﻴﻄﻴﺤﻤﻟﺍ ﺔﻳﻮﻣﺪﻟﺍ ﺔﻴﻋﻭﻷﺍ
ﺧﺩﺈﺑ ﻦﻴﺼﺘﺨﻤﻟﺍ ﻭﺍ ﺓﺮﺒﺧ ﻢﻬﻟ ﻦﻳﺬﻟﺍ ﺓﺰﻬﺟﻷﺍ ﻝﺎ
ﻲﻓ ﺔﻴﻋﻭﻷﺍ
ﺔﻳﻮﻣﺪﻟﺍ ) ﺔﺟﺭﺪﻟﺍ ﺃ (
- ﻱﺭﻭﺮﻀﻟﺍ ﻦﻣ ﻊﻣ ﻱﺪﻳﻻﺍ ﻞﺴﻏ ﻰﻠﻋ ﻑﺍﺮﺷﻹﺍ
ﻝﺎﻤﻌﺘﺳﺍ ﻝﺍﺪﺒﺘﺳﺍ ﻭﺍ٬ﺮﻴﻴﻐﺗ ﻭﺍ ﻝﺎﺧﺩﺍ ﺪﻨﻋ ﻢﻴﻘﻌﺘﻟﺍ ﺕﺎﻴﻨﻘﺗ
ﺍ ﺓﺩﺎﻤﺿ ﺔﻴﻋﻭﻷ ) ﺃ ﺔﺟﺭﺪﻟﺍ (
- ﺽﺮﻐﻠﻟ ﺔﻤﺋﻼﻤﻟﺍ ﺓﺮﻄﺴﻘﻟﺍ ﺭﺎﻴﺘﺧﺍ ﻊﻣ ٬ ﻡﺍﺪﺨﺘﺳﻻﺍ ﺓﺪﻣﻭ
ﺔﻓﺮﻌﻣ ﺔﺑﺮﺠﺘﻟﺍ ﻦﻋ ﺔﺠﺗﺎﻨﻟﺍ ﺕ ﺎﻔﻋﺎﻀﻤﻟﺍ --
٬ ﻥﻮﻠﻔﺗ
ﺓﺩﺎﻣ ﻦﻣﺮﻣﻮﺘﺳﻻﺍ ﺓﺩﺎﻣ ﻦﻣ ﺓﺮﻄﺴﻘﻟﺍ ﻭﺃ ﻥﻮﻜﻴﻠﻴﺳ
ﻥﺎﺘﻳﺮﻴﻟﻮﺒﻟﺍ ﻦﻴﻠﻴﺛﺍ ﻲﻟﻮﺒﻟﺍ ﻦﻣ ﺎﻧﺎﻣﺃ ﺮﺜﻛﻷﺍ ﻲﻫ
, ﻞﻴﻨﻴﻓ ﻲﻟﻮﺒﻟﺍ
ﺮﺑﻹﺍ ﻭﺍﺭﻮﻠﻛ ﺫﻻﻮﻔﻟﺍ ﻦﻣ ﺔﻋﻮﻨﺼﻤﻟﺍ
ﺍﺮﺨﻧ ﺐﺒﺴﺗ ﺪﻗ ٬ ﺍﺫﺇ
ﺏﺮﺴﺗ ﺙﺪﺣ )
ﺃ ﺔﺟﺭﺪﻟﺍ (
- ﺏﺮﻗﺃ ﻲﻓ ﺔﻳﻮﻣﺪﻟﺍ ﺔﻴﻋﻭﻷﺍ ﻞﺧﺍﺩ ﺯﺎﻬﺟ ﺔﻳﺃ ﺔﻟﺍﺯﺇ ﺐﺠﻳ
ﺭﺮﺒﻣ ﻪﻟ ﺲﻴﻟ ﻪﻣﺍﺪﺨﺘﺳﺍ ﻥﺎﻛ ﺍﺩﺍ ﺖﻗﻭ )
ﺃ ﺔﺟﺭﺪﻟﺍ (
- ﻚﻟﺫ ﻲﻓ ﺎﻤﺑ ٬ ﺓﺰﻬﺟﻻﺍﺮﻴﻴﻐﺗ ﻟﺍﺍ
ﺔﺨﻀﻤ ﻟﺍ ﺕﺍﺮﺘﻔﻟ ﺔﻟﻮﻤﺤﻤ
ﺮﺜﻛﺃ ﺲﻴﻟ 72
ﺻﻭﺍ ﺍﺫﺇ ﻻﺇ ٬ ﺔﻋﺎﺳ ﻰﻯ
ﺎﻬﺑ
) ﺏ ﺔﺟﺭﺪﻟﺍ (
- ﺍ ﻦﻣ ﻲﻨﻴﺗﻭﺭ ءﺍﺮﺟﺇ ﻞﺴﻏ ﻞﺟ
ﻝﻮﻠﺤﻤﺑ ﺔﻳﺪﻳﺭﻮﻟﺍ ﺓﺮﻄﺴﻘﻟﺍ
ﺕﺎﻨﻴﻋ ﻰﻠﻋ ﻝﻮﺼﺤﻠﻟ ﻡﺪﺨﺘﺳﺍ ﺍﺩﺍ ﺎﻣﺍ٬ ﻲﺤﻠﻣ ﻟﺍ
٬ ﻡﺪ ﻩﺬﻫ ﻲﻓ
ﻦﻳﺭﺎﺒﻴﻬﻟﺍ ﻦﻣ ﻒﻔﺨﻣ ﻝﻮﻠﺤﻣ ﻡﺍﺪﺨﺘﺳﺍ ﻦﻜﻤﻳ ﺔﻟﺎﺤﻟﺍ )
ﺔﺟﺭﺪﻟﺍ
ﺏ (
- ﺔﻴﻄﻐﺘﻟ ﻢﻘﻌﻣ ﺵﺎﺷ ﻭﺃ ﻑﺎﻔﺷ ٬ءﺎﺸﻏ ﻡﺍﺪﺨﺘﺳﺍ ﺢﺼﻨﻳ
ﺓﺮﻄﺴﻘﻟﺍ ﻊﻗﻮﻣ )
ﺏ ﺔﺟﺭﺪﻟﺍ (
Fonti informative :ﺕﺎﻣﻮﻠﻌﻤﻟﺍ ﺭﺩﺎﺼﻣ
ﻩﺪﻫ ﺔﻴﻣﻼﻋﻻﺍ ﺔﻠﺠﻤﻟﺍ
ﺕﺎﺳﺭﺎﻤﻤﻟﺍ ﻞﻀﻓﺍ ﺮﻳﺎﺴﺗﻭ ﻞﺤﺗ ﻲﺘﻟﺍ
ﺔﻴﻣﻼﻋﻻﺍ ﺔﻠﺠﻤﻟﺍ JBI
.
ﺭﻮﺸﻨﻤﻟﺍ ﺓ
ﺑ ﺔﻨﺳ ﻥﺍﻮﻨﻌﻟﺍ ﺲﻔﻨ 1998
ﻦﻣ ﺔﻘﺘﺸﻣ ﻋﻮﻤﺠﻣ
ﺔ
ﺔﻣﺪﻘﻤﻟﺍ ﺔﻴﻬﻴﺟﻮﺘﻟﺍ ﺉﺩﺎﺒﻤﻟﺍ ﺰﻛﺮﻣ ﻑﺮﻃ ﻦﻣ
ﺔﺤﻓﺎﻜﻣ
ﺽﺍﺮﻣﻻﺍ ) 2002 ( , ﻭ ﻲﻓ ﺕﺮﺸﻧ ﻲﺘﻟﺍ ﺔﻴﺠﻬﻨﻤﻟﺍ ﺕﺎﻌﺟﺍﺮﻤﻟﺍ ﻦﻣ
2005 -
2006 ﺍ ﻱﺩﺎﺼﺘﻗﻻﺍ ﻢﻴﻴﻘﺘﻟﺍ ﻦﻣﻭ ﺔﻨﺳ ﺭﻮﺸﻨﻤﻟ
2007 . Background
ﺔﻴﻔﻠﺧ : ﺓﺩﺭﻭﻻﺍ ﻞﺧﺍﺩ ﺓﺰﻬﺟﻷﺍ ﺱﺭﺎﻤﺗ ﻰﺘﻟﺍ
ﺔﻣﺎﻋ ﺔﻔﺼﺑ ﻲﻓ
ﻔﺸﺘﺴﻤﻟﺍ ﺮﺒﺘﻌﺗ ﺕﺎﻴ ﻞﺟﺍ ﻦﻣ ﺔﻤﻬﻣ
ﺪﺧﺃ ﺔﻳﻭﺩﻻﺍ
٬ ٬ ﺕﺎﻳﺬﻐﻤﻟﺍ
ﻡﺪﻟﺍ ﺕﺎﺠﺘﻨﻣ٬ ﻞﺋﺍﻮﺴﻟﺍ ﺔﺒﻗﺍﺮﻣ ﻭ
ﺺﺨﺸﻠﻟ ﺔﻳﻮﻣﺪﻟﺍ ﺓﺭﻭﺪﻟﺍ .
ﺍﺬﻫ ﺓﺮﻄﺴﻘﻟﺍ ﻞﺜﻣ ﺔﻴﻄﻴﺤﻤﻟﺍ ﺔﻴﻋﻭﻷﺍ ﻞﺧﺍﺩ ﺓﺰﻬﺟﻷﺍ ﻥﺈﻓ ٬
ﺔﻳﺪﻳﺭﻮﻟﺍ ﻄﻟﺍ
ﺔﻴﻓﺮ ﺪﻗ ﺗ ﺔﻳﺪﻌﻤﻟﺍ ﺙﺍﺪﺣﻷﺍ ﻦﻣ ﺔﻠﺴﻠﺳ ﻰﻟﺇ ﻱﺩﺆ
ﺔﻴﻠﺤﻤﻟﺍ ﻭﺃ ﺔﻴﻋﻮﺿﻮﻤﻟﺍ .
٬ﻝﺎﺜﻤﻟﺍ ﻞﻴﺒﺳ ﻰﻠﻋ ﺔﺑﺎﺻﺍ
ﺓﺮﻄﺴﻘﻟﺍ ﺎﻬﺴﻔﻧ
- ﺔﻗﻼﻋ ﺎﻬﻟ ﻱﻮﻣﺪﻟﺍ ﻉﻮﻤﺠﻤﻟﺍ ﺔﺑﺎﺻﺍ
ﻯﻭﺪﻌﻟﺍﺍ ﻉﺎﻔﺗﺭﺎﺑ ﻰﻔﺸﺘﺴﻤﻟﺎﺑ ﺔﻣﺎﻗﻻﺍ ﺓﺪﻣﻭ ﺕﺎﻴﻓﻮﻟﺍﻭ
ﺔﻠﻳﻮﻃ ﺓﺮﺘﻔﻟ
.
ﺡﻭﺍﺮﺘﺗ ﻒﻴﻟﺎﻜﺘﻟﺍ ﺎﻣ
ﻦﻴﺑ 4000 ﺭﻻﻭﺩ 56.00 ﺭﻻﻭﺩ
ﻳﺮﻣﺃ ﻲﻜ ) ﺓﺪﺤﺘﻤﻟﺍ ﺕﺎﻳﻻﻮﻟﺍ ﺔﻘﻠﺣ ﻞﻜﻟ
( ﺓﺪﺤﺘﻤﻟﺍ ﺕﺎﻳﻻﻮﻟﺍ ﻲﻓ
ﻣﺪﻟﺍ ﺕﺎﺑﺎﻬﺘﻟﻻﺍ٬ ﺎﻫﺪﺣﻭ ﺔﻳﻮ
ﺓﺮﻄﺴﻘﻟﺎﺑ ﺔﻠﺻ ﺎﻬﻟ ﻰﺘﻟﺍ CR-
BSI ﺙﺪﺤﺗ ﺑ ﺔﻄﺳﻮﺘﻣ ﺔﺒﺴﻨ ﻭ
ﻦﻴﺑ ﺎﻣ ﺡﻭﺍﺮﺘﺗ 5
ﻲﻓ
1000 ﻣﻮﻳ ﻴ ﻲﻓ ﺎ UCIs .
ﺐﺒﺴﻳ ﺎﻤﻣ 80.000
ﺕﺎﻘﻠﺣ
ﻦﻣ CRBSI ﺔﻨﺳ ﻞﻜﻟ
.
ﺐﺒﺳ ﻢﻫﺃ ﻥﻵﺍ ﻲﻫ ﺔﻳﻮﻣﺪﻟﺍ ﺔﻴﻋﻭﻷﺍ ﻞﺧﺍﺩ ﺓﺰﻬﺟﻷﺍ ﺡﻭﺮﻄﻣ BSI )
ﻡﺎﻣﺍ ﺐﺘﻜﻣ ﻟﺍ ﺔﻳﺎﻋﺮﻟﺍ ﻲﻔﻇﻮﻣ ﺕﺎﻘﻴﻘﺤﺘ (
٬
ﺕﻻﺎﺤﻟﺍ ﻲﺘﻟﺍﺍ
ﺖﺜﺒﺗﺍ ﺓﺪﺤﺘﻤﻟﺍ ﺕﺎﻳﻻﻮﻟﺍ ﻞﺧﺍﺩ ﻡﺎﻋ ﻞﻛ
ﺔﻴﻜﻳﺮﻣﻷﺍ ﻦﻴﺑ ﺎﻣ ﺡﻭﺍﺮﺘﺗ
250.000 -
500.000 .
ﺓﺪﻣﻭ ﺾﻳﺮﻤﻟﺍ ﻝﻼﺘﻋﺇ ﺓﺩﺎﻳﺯ ﻰﻟﺍ ﻱﺩﺆﻳ ﺪﻬﺸﻤﻟﺍ ﺍﺬﻫ ﺝﻼﻌﻟﺍ ﺕﺎﻘﻔﻧﻭ ﻰﻔﺸﺘﺴﻤﻟﺍ ﻲﻓ ﻪﺋﺎﻘﺑ .
ﺔﻴﺒﻳﺮﺠﺘﻟﺍ ﺔﻟﺩﻷﺍﺮﻴﺸﺗ ﺇ
ﻦﻣ ﺮﺜﻛﺃ ﻥﺃ ﻰﻟ 50
ﻦﻣ ٪ ﻩﺬﻫ
ﺎﻬﻨﻣ ﺔﻳﺎﻗﻮﻟﺍ ﻦﻜﻤﻳ ﻯﻭﺪﻌﻟﺍ .
ﺚﻴﺣ ﺔﻳﺪﻳﺭﻮﻟﺍ ﺓﺮﻄﺴﻘﻟﺍ
ﺔﻴﻓﺮﻄﻟﺍ PICS
ﺎﻣ ﺍﺭﺩﺎﻧ ﺗ
ﺑ ﻂﺒﺗﺮ ﻻﺎ ﺪﻟﺍ ﺕﺎﺑﺎﻬﺗ ﻡ
BSI
ﻭﺃ ﺔﻴﺋﺎﻴﻤﻴﻛ٬ ﺔﻴﺋﺎﻳﺰﻴﻓﺔﻟﺎﺣ ﺮﺒﺘﻌﺗ ﺎﻣ ﺓﺩﺎﻋ ﻲﺘﻟﺍﻭ .ﺔﻳﺪﻌﻣ ﻦﻣ ﻻﺪﺑ ﺔﻴﻜﻴﻧﺎﻜﻴﻣ ﺏﺎﻬﺘﻟﻻﺍ ﺮﻄﺧ ﻰﻠﻋ ﺮﺛﺆﺗ ﻲﺘﻟﺍ ﻞﻣﺍﻮﻌﻟﺍ ﻦﻣ ﺩﺪﻋ ﻙﺎﻨﻫ
:ﻱﺪﻳﺭﻮﻟﺍ ﺩﺍﻮﻤﻟﺍ ﻉﻮﻧ٬ ﺎﻬﻨﻣ ﺔﻧﻮﻜﻤﻟﺍ ﺓﺩﺎﻤﻟﺍ ٬ ﺓﺮﻄﺴﻘﻟﺍ ﻉﻮﻧﻭ ﻢﺠﺣ
.ﺺﺨﺸﻟﺍ ﺓﺭﻮﻄﺧ ٬ﺓﺩﻮﺧﺄﻤﻟﺍ . ﻯﻭﺪﻌﻟﺎﺑ ﺔﺑﺎﺻﻻﺍ ﻝﺎﻤﺘﺣﻹﺍ ﻦﻣ ٬ﺍﺬﻫ ﺙﺪﺤﻳ ﺎﻣﺪﻨﻋﻭ ﺓﺮﻄﺴﻘﻟﺍ ﻖﻳﺮﻃ ﻦﻋ ﻯﻭﺪﻌﻟﺎﺑ ﺔﺑﺎﺻﻹﺍ ﻲﻓ ﺐﺒﺴﺘﻟﺍ ﺕﺎﻨﺋﺎﻜﻟﺍ ﺓﺮﺠﻫ ﺔﺠﻴﺘﻧ ﻭﺪﺒﻳ ﺍﺬﻫ ٬ ﺍﺪﻴﻘﻌﺗ ﺮﺜﻛﺃ ﻮﻫ ﻦﻴﺣ ﻰﻟﺍ ﻞﺼﺗ ﻲﺘﻟﺍ ﻭ ﺓﺎﻨﻘﻟﺍ ﻮﺤﻧ ﺪﻠﺠﻟﺍ ﻕﻮﻓ ﺓﺩﻮﺟﻮﻤﻟﺍ . ﺓﺮﻄﺴﻘﻟﺍ ﺱﺃﺭ
ﺔﻳﺎﻬﻧ ﻳ ﻥﺃ ﻦﻜﻤﻳ ﺓﺮﻄﺴﻘﻟﺍ ﺱﺃﺭ ﻢﻫﺎﺴ
ﻲﻓ ﺔﺑﺎﺻﻻﺍ
ﺑ ﺔﺻﺎﺧ ﻭ ﻯﻭﺪﻌﻟﺎﺑ ﻞﺟﻷﺍ ﺕﺍﺫ ﺓﺮﻄﺴﻘﻠﻟ ﺔﺒﺴﻨﻟﺎ
ﻞﻳﻮﻄﻟﺍ . ﻦﻴﻠﻣﺎﺤﻟﺍ ﻝﺎﻔﻃﻵﺍ ﺪﻨﻋ ﺔﻌﺋﺎﺸﻟﺍ ﺕﺎﻔﻋ ﺎﻀﻤﻟﺍ ﻦﻣ
ﻡﺪﻟﺍ ﺏﺎﺒﺼﻧﺇ ﺔﻴﻓﺮﻄﻟﺍ ﺔﻳﺪﻳﺭﻮﻟﺍ ﺓﺮﻄﺴﻘﻟﺍ .
ﻒﻴﻟﺎﻜﺗ ﺾﻴﻔﺨﺗﻭ ﻰﺿﺮﻤﻟﺍ ﺞﺋﺎﺘﻧ ﻦﻴﺴﺤﺗ ﻞﺟﺃ ﻦﻣ ﺓﺭﺍﺩﺇ ﺭﺎﺒﺘﻋﻹﺍ ﻦﻴﻌﺑ ﺪﺧﻵﺍ ﻲﻐﺒﻨﻳ ٬ ﺔﻴﺤﺼﻟﺍ ﺔﻳﺎﻋﺮﻟﺍ ﻚﻟﺩ ﻭ ﺪﻳﺭﻮﻟﺍ ﻖﻳﺮﻃ ﻦﻋ ﺬﻔﻨﺗ ﻲﺘﻟﺍ ﺔﻴﻓﺮﻄﻟﺍ ﺓﺰﻬﺟﻷﺍ
. ﻯﻭﺪﻌﻟﺍ ﻦﻣ ﺪﺤﻟﺍ ﻞﺟﺃ ﻦﻣ ﻦﻳﺬﻟﺍ ﺔﻴﺤﺼﻟﺍ ﺔﻳﺎﻋﺮﻟﺍ ﻱﺮﻳﺪﻣ ﻰﻠﻋ ﻞﻀﻓﻷﺍ ﻦﻣ ﺔﻳﺎﻋﺭ ﻲﻓ ﻰﺿﺮﻤﻠﻟ ﻢﻬﺘﻤﻫﺎﺴﻣ ﻭﺩﺭﺍﻮﻤﻟﺍ ﻥﻮﻨﻴﻌﻳ ﻲﻓ ﺎﻤﺑ ﺕﺎﺼﺼﺨﺘﻟﺍ ﺩﺪﻌﺗ ﺞﻬﻧ ﺓﺮﻳﺎﺴﻣ ,ﻢﻬﺗﺮﻄﺴﺴﻗ ﺮﻤﻤﻟﺍ ﻦﻣ ﺔﻋﻮﻤﺠﻣ ﻚﻟﺫ ﻣ ﻦﻴﺼﺘﺨﻤﻟ ﺍ ﻦﻴﺿ
ﻞﺟﺃ ﻦ
ﺓﺮﻄﺴﻘﻟﺍ ﺓﺭﺍﺩﺇ ﻭ ﺔﻨﻴﻌﻤﻟﺍ ﻦﻘﺤﻟﺍ ﻖﻳﺮﻃ ﻦﻋ ﺝﻼﻌﻟﺍ .ﺔﻴﻋﻭﻷﺍ ﻞﺧﺍﺩ
Obiettivi ﻑﺍﺪﻫﻻﺍ ﺔﻣﻮﻠﻌﻤﻟﺍ ﻩﺬﻫ ﻦﻣ ﺽﺮﻐﻟﺍﻭ ﻑﺪﻬﻟﺍ
: Best Practice ﻤﻤﻟﺍ ﻞﻀﻓﺍ ﻢﻳﺪﻘﺗﻮﻫ ﺎ
ﺔﻟﺩﻻﺍ ﻊﻴﻤﺟ ﺺﻴﺨﻠﺗ ﺪﻌﺑ ﺕﺎﺳﺭ
ﺔﻳﻮﻣﺪﻟﺍ ﺔﻴﻋﻭﻻﺍ ﻞﺧﺍﺩ ﺓﺰﻬﺟﻻﺍ ﺕﺭﺍﺩﺍ ﺺﺨﻳ ﺎﻤﻴﻓ ﺗ ﻞﺟﺍ ﻦﻣ ﺎﻴﻄﻴﺤﻣ ﺎﻬﺟﺭﺩﺍ ﻢﺗ ﻲﺘﻟﺍ ﺔﺑﺎﺻﻻﺍ ﺮﻄﺧ ﻞﻴﻠﻘ
ﻯﻭﺪﻌﻟﺎﺑ Qualità della ricerca ﺙﺎﺤﺑﻻﺍ ﺓﺩﻮﺟ
:
ﻈﻧ ﺇ ﻭ ﺚﺤﺒﻠﻟ ﺓﺩﺪﺤﻤﻟﺍ ﺔﻟﺩﻻﺍ ﺔﻠﻘﻟ ﺍﺮ ﺔﻳﺎﻗﻮﻟﺍ ﺔﻴﺠﻴﺗﺍﺮﺘﺳ
ﺩﺎﻤﺘﻋﻻﺍ ﺐﺠﻳ :
ﺃ ﻹ ﺔﻴﻬﻴﺟﻮﺗ ﺉﺩﺎﺒﻣ ﻰﻠﻋ ﻻﻭ ﺔﻳﺪﻌﻤﻟﺍ ﺽﺍﺮﻣﻻﺍ ﺏﺎﻨﺘﺟ
ﻵﺍ ﻞﺧﺍﺩ ﻡﺎﻌﻟ ﺔﻳﻮﻣﺪﻟﺍ ﺔﻴﻋﻭ
2002 ﺓﺮﻄﺴﻘﻟﺍ ﻖﻳﺮﻃ ﻦﻋ ﻷﺍ ﺪﺣ ﻰﻟﺍ ﺮﺒﺘﻌﺗ ﻝﺍﺰﺗﻻ ﻲﺘﻟﺍ
ﺔﻴﻬﺟﻮﺘﻟﺍ ﺉﺩﺎﺒﻤﻟﺍ ﻦﻣ ﻥ
ﺔﻴﺠﻬﻨﻤﻟﺍ ﺔﻌﺟﺍﺮﻤﻟﺍ ﻦﻣ ﺓﺪﻤﺘﺴﻤﻟﺍ ﺕﺎﺟﺎﺘﻨﺘﺳﻻﺍﻭ
ﺔﻳﺰﻛﺮﻤﻟﺍ ﺔﻳﺪﻳﺭﻮﻟﺍ ﺓﺮﻄﺴﻘﻟﺍ ﻰﻠﻋ ﺰﻛﺮﺘﺗ ﻲﺘﻟﺍ
CVCs ﺃ ﻮﻫ٬ﺍﺬﻫ ﻦﻋ ﺔﺒﺗﺮﺘﻤﻟﺍ ﺭﺎﺛﻵﺍ ﻦﻣ ﻞﻣﺎﻋ ﺓﺩﻮﺠﻟﺍ ﻥ
ﺓﺭﺎﺘﺨﻤﻟﺍ ﺮﻳﺎﻌﻤﻟﺍ ﻭ ﺕﺎﺳﺍﺭﺪﻟ ﺍ ﺩﺪﻋ ﺐﺴﺣ ﺮﻴﻐﺘﻣ .
Tipi di intervento- strategie preventive ﻟﺍ ﺔﻴﻋﻮﻧ ﺪﺘ
ﺔﻳﺎﻗﻮﻟﺍ ﺔﻴﺠﻴﺗﺍﺮﺘﺳﺍﻭ ﺕﻼﺧ
ﺔﻴﺒﺒﺴﻟﺍ
:
ﻲﻫ ﺏﺎﻬﺘﻟﻼﻟ ﺔﺒﺒﺴﻤﻟﺍ ﻞﻣﺍﻮﻌﻟﺍ ﻢﻫﺃ ﻦﻣ :
٬ﺔﻋﻮﻔﻟﺍﻭ ﺯﺎﻬﺠﻟﺍ ﺓﺩﺎﻣ ﻦﻣ ﺓﺮﻄﺴﻘﻟﺍ
ﻥﻮﻠﻔﺗ ﺓﺩﺎﻣ ,
ﻥﺎﺘﻳﺭﻭﺃ ﻲﻟﻮﺒﻟﺍﻭﺍ ﻥﻮﻜﻴﻠﻴﺳ ﺮﻣﻮﺘﺳﻻﺍ ﺃ
ﺔﻣﻭﺎﻘﻣ ﺮﺜﻛ
ﻟﻹﺍ ﺺﺨﻳ ﺎﻤﻴﻓ ﻊﻣ ﺔﻧﺭﺎﻘﻤﻟﺎﺑ ﺔﻳﺮﻬﺠﻤﻟﺍ ﺕﺎﻨﺋﺎﻜﻟﺍ ﻕﺎﺼﺘ
ﺕﺍﺮﻄﺴﻘﻟﺍ ﻲﻟﻮﺒﻟﺍ ﺓﺩﺎﻣ ﻦﻣ ﺔﻋﻮﻨﺼﻤﻟﺍ
ﺇ ﺜﻳ ﻦﻴﻠ
ﺩﻻﻮﻔﻟﺍ ﻭﺃ ﻞﻴﻨﻴﻔﻟﻮﺑ ﺭﻭﺭﻮﻠﻛﻭ .
ﻹﺍ ﻞﺧﺍﺩ ﺔﻠﻤﻌﺘﺴﻤﻟﺍ ﺩﻻﻮﻔﻟﺍ ﻦﻣ ﺔﻋﻮﻨﺼﻤﻟﺍ ﺔﺒﻠﺼﻟﺍ ﺮﺑ ﻞﻠﺴﺗ ﻞﺒﻗ ﻦﻣ ﻚﻟﺫﻭ ﺍﺭﺮﺿ ﺙﺬﺤﺗ ﺪﻗ ﻲﻄﻴﺤﻤﻟﺍ ﺪﻳﺭﻮﻟﺍ
ﺪﻠﺠﻟﺍ ﺖﺤﺗ ﺪﻳﺭﻮﻟﺍ ﻞﺋﺍﻮﺳ .
ﺇ ﻡﺪﻋ ﻥﺇ ﺎﻈﺘﻧ
ﺔﻋﺮﺳ ﻰﻟﺍ ﻱﺩﺆﻳ ﺔﻴﺤﻄﺴﻟﺍ ﺔﻋﺮﺴﻟﺍ ﻡ
ﺇ ﺮﺜﻛﺎﺒﻄﻨﺷﺍ ﻞﺜﻣ ﺔﻴﺑﻭﺮﻜﻴﻤﻟﺍ ﺕﺎﻨﺋﺎﻜﻟﺍ ﺾﻌﺑ ﻝﺎﺧﺫ
ﻠﻴﻔﻄﺻﻮﻧﻮﺘﺴﻜﻟﺎﻛ ﻦﻴﺒﻟﺎﺴﻟﺍ ﻦﻳﺪﻤﺠﺘﻤﻟﺍ ﻙﻮﻜﻴ
, ﻥﺍ ﺎﻤﻛ
ﺃ ﻲﻫ ﺓﺮﻄﺴﻘﻟﺍ ﺩﺍﻮﻣ ﺾﻌﺑ ﺐﺒﺴﺗ ﻲﻓ ﺎﻫﺮﻴﻏ ﻦﻣ ﺮﺜﻛ
ﺕﺎﻄﻠﺠﻟﺍ .
ﺄﺑ ﻰﺻﻮﻳ ﺓﺭﺍﺩﺇ ﻦﻋ ﺔﺠﺗﺎﻨﻟﺍ ﺔﻄﻠﺠﻟﺍ ﻦﻣ ﺔﻳﺎﻗﻮﻟﺍ ﺔﻴﻤﻫ
ﺓﺮﻄﺴﻘﻟﺍ IBS
- CR
Strategie per la Prevenzione delle Infezioni catetere -relate ﻊﺟﺮﻳ ﺔﺑﺎﺻﻹﺍ ﺮﻄﺧ ﺽﺎﻔﺨﻧﺇ ﻥﺃﺮﻳﺭﺎﻘﺘﻟﺍ ﺕﺮﻬﻇﺃ ﺪﻘﻟ
٬ ﺝﻼﻌﻟﺍ ﺺﺨﻳ ﺎﻤﻴﻓ ﺔﻠﻤﻌﺘﺴﻤﻟﺍ ﺔﻘﻳﺮﻄﻟﺍ ﺪﻴﺣﻮﺗ ﻰﻟﺇ ﺓﺮﻄﺴﻘﻟﺍ ﺓﺭﺍﺩﺇ ﻲﻓ ﻦﻴﺼﺘﺨﻣ ﺩﻮﺟﻭﻭ ٬ ﻱﺪﻳﻷﺍ ﻞﺴﻏ
ﺔﻳﻮﻣﺪﻟﺍ ﺔﻴﻋﻭﻷﺍ ﻞﺧﺍﺩ ٬
ﻦﻣ ﻻﺪﺑ ﺮﻴﻏ ﺹﺎﺨﺷﺃ
ﻥﻮﻤﻫﺎﺴﻳ ﻻ ﻦﻳﺪﻟﺍ ﻦﻴﺼﺘﺨﻣ ﺙﺩﺍﻮﺤﻟﺍ ﻦﻣ ﺪﺤﻟﺍ ﻲﻓ
ﺔﻳﺪﻌﻤﻟﺍ ﻒﻴﻟﺎﻜﺘﻟﺍ ﻦﻣ ﺾﻴﻔﺨﺘﻟﺍ ﻭ
.
ﺔﻴﻋﻭﻷﺍ ﻞﺧﺍﺩ ﻲﻫ ﻲﺘﻟﺍ ﺓﺰﻬﺟﻷﺍ ﺔﻟﺍﺯﺇ ﻢﻫﻷﺍ ﻦﻣ ﺎﻬﻟﺎﻤﻌﺘﺳﺇ ﻡﺪﻋ ﻰﻟﺇ ﺓﺭﺎﺷﻹﺍ ﺩﺮﺠﻤﺑ .
ﺓﺪﻴﺠﻟﺍ ﺔﻓﺎﻈﻨﻟﺍ /
ﺺﺨﺗ ﻲﺘﻟﺍ ﻞﺴﻏ
ﻲﻓ ﻱﺪﻳﻷﺍ ﻷﺍ
ﻝﻭ
ﺍﻭ ﻹ ﻟﺍ ﺕﺎﻴﻨﻘﺗ ﻰﻟﺇ ﻩﺎﺒﺘﻧ ﺘ
ﺓﺮﻄﺴﻘﻟﺍ ﻝﺎﺧﺩﺇ ﻝﻼﺧ ﻢﻴﻘﻌ
ﺔﻳﺪﻳﺭﻮﻟﺍ ﺔﻴﻓﺮﻄﻟﺍ
ﺮﻓﻮﻳ ﻯﻭﺪﻌﻟﺍ ﻦﻣ ﺔﻳﺎﻤﺤﻟﺍ .
ﻰﺻﻮﻳ ﺑ ﺈ ﻡﺍﺪﺨﺘﺳ ﻝﻮﺤﻜﻟﺍ ﻦﻣ ﺔﻧﻮﻜﻣ ﺩﺍﻮﻣ
ﻭﺃ ءﺎﻣ ﻥﻭﺩ
ﻥﻮﺑﺎﺻ
٬ ﻀﻣ ﺎ ﻊﻣ ﻢﻴﺛﺍﺮﺠﻠﻟ ﺩ ﺓﺮﻓﻭ
ﺪﻨﻋ ءﺎﻤﻟﺍ ﻟﺍ
ﻒﻄﺸ
٬
ﻊﻨﻤﻟ ﻲﺳﺎﻴﻗ ﻁﺎﻴﺘﺣﺎﻛ ﻞﻤﻌﺘﺴﺗ ﺔﻤﻘﻌﻤﻟﺍ ﺮﻴﻏ ﺕﺍﺯﺎﻔﻘﻟﺍ . ﺽﺮﻤﻟﺍ ﻲﻓ ﺐﺒﺴﺗ ﻲﺘﻟﺍ ﻞﻣﺍﻮﻌﻟﺍ ﺭﺎﺸﺘﻧﺇ ﺔﺑﺎﺻﻹﺍ ﺮﻄﺧ ﻰﻠﻋ ﺮﺛﺆﻳ ﺓﺮﻄﺴﻘﻟﺍ ﺝﺍﺭﺩﺇ ﻊﻗﻮﻣ ﺝﺍﺭﺩﺇ ﻊﻗﻮﻣ ٬ ﻦﻴﻐﻟﺎﺒﻠﻟ ﺔﺒﺴﻨﻟﺎﺑ, ﻱﺪﻳﺭﻮﻟﺍ ﺏﺎﻬﺘﻟﻻﺎﺑ
ﺃ ﻞﺧﺍﺩ ﺓﺮﻄﺴﻘﻟﺍ ﺔﻴﻋﻭ
ﺐﺒﺴﺗ ﻰﻠﻔﺴﻟﺍ ﻑﺍﺮﻃﻵﺍ
ﻑﺍﺮﻃﻷﺍ ﻊﻣ ﺔﻧﺭﺎﻘﻤﻟﺎﺑ ﻯﻭﺪﻌﻟﺎﺑ ﺔﺑﺎﺻﻹﺍ ﻲﻓ ﺍﺮﻄﺧ . ﺔﻳﻮﻠﻌﻟﺍ ﻦﻣ ﻱﺪﻳﺭﻮﻟﺍ ﺏﺎﻬﺘﻟﻻﺎﺑ ﺔﺑﺎﺻﻺﻟ ﺍﺮﻄﺧ ﻞﻗﺃ ﺪﻴﻟﺍ ﻕﻭﺮﻋ
.ﻒﻜﻟﺍﻭﺃ ﻉﺍﺭﺬﻟﺍ ﻰﻠﻋﺃ ﻲﻓ ﺓﺩﻮﺟﻮﻤﻟﺍ ﻕﻭﺮﻌﻟﺍ ﺐﺠﻳ ﻲﺘﻟﺍ ﻞﻣﺍﻮﻌﻟﺍ ﺭﺎﺒﺘﻋﻹﺍ ﻦﻴﻌﺑ ﺎﻫﺪﺧﺃ
ﺪﻨﻋ ﺇ ﺭﺎﻴﺘﺧ
ﻊﻗﻮﻣ ﺇ ﻲﻫ ﺓﺮﻄﺴﻘﻟﺍ ﻝﺎﺧﺩ :
ﻝﺎﺜﻤﻟﺍ ﻞﻴﺒﺳ ﻰﻠﻋ ﺾﻳﺮﻤﻟﺎﺑ ﺔﺻﺎﺧ ﺕﺍﺭﺎﺒﺘﻋﺇ ـ ٬ ﻞﺒﻗ ﻦﻣ ﺓﺩﻮﺟﻮﻤﻟﺍ ﺓﺮﻄﺴﻘﻟﺍ
ـ ﻩﻮﺸﺗ ﻒﻳﺰﻧ ﻭ ﻲﻌﻴﺒﻃ ﺮﻴﻏ ﺪﻨﻋ
ﺇ ﻊﻗﻮﻣ ﺭﺎﻴﺘﺧ ﻟﺍ
ﺔﻴﻨﻘ
ﻞﺧﺍﺩ ﻲﻄﻴﺤﻤﻟﺍ ﺪﻳﺭﻮﻟﺍ ﻭﺩ
ﺓﺮﻴﺼﻗ ﺔﻣﺎﻗﺇ .
ﻒﻜﻠﻟ ﺔﻴﻠﺧﺍﺪﻟﺍ ﺔﻬﺠﻟﺍ ﺐﻨﺠﺗ ﺐﺠﻳ ـ 5
ﺮﺘﻤﻴﺘﻨﺳ ﺪﺤﻠﻟ
ﻦﻣ ﺭﺮﺿ ﻖﻠﺧ
ﻲﻋﺎﻌﺷ ﻂﺳﻮﺘﻣ ٬ ﺐﺼﻌﻟﺍ ﻲﻓ
ﻦﻣ ﺓﺭﺮﻀﺘﻤﻟﺍ ﻖﻃﺎﻨﻤﻟﺍﻭ ﻱﺪﻧﺰﻟﺍ ﺎﻳﻼﺨﻟﺍ
.
ـ ﺴﻜﻟﺍ ٬ ﺪﻠﺠﻟﺍ ﻊﻴﻗﺮﺗ ٬ ﺓﺩﺭﻭﻷﺍﻭ ﻦﻴﻳﺍﺮﺸﻟﺍ ﺭﻮﺳﺎﻧ ٬ ﺭﻮ
ﺔﻘﺑﺎﺴﻟﺍ ﺔﺣﺍﺮﺠﻟﺍﻭ ٬ ﺔﻴﻏﺎﻣﺪﻟﺍ ﺔﺘﻜﺴﻟﺍ ءﺎﻀﻋﻸﻟ
ﺔﻘﺑﺎﺴﻟﺍ ﻊﺿﺍﻮﻤﻟﺍﻭ ﻟ
ﺔﻳﺪﻳﺭﻮﻟﺍ ﺓﺮﻄﺴﻘﻠ .
ـ ﺐﺠﻳ ﺐﻨﺠﺗ ﻥﺎﻜﻣ ﺍ ﻹ ﻙﺎﻜﺘﺣ ﻛ
ﺔﻳﺪﻧﺰﻟﺍ ﺓﺮﻔﺤﻟﺎ
ﻢﺼﻌﻤﻟﺍﻭ .
ﺍﺪﻬﻟ
٬ ﻢﺗ ﺍﺩﺇ ﻡﺍﺪﺨﺘﺳﺇ ﻩﺬﻫ
ﺔﻠﻳﺪﺟ ﻊﺿﻭ ﺐﺠﻳ ﻊﻗﺍﻮﻤﻟﺍ
ﻰﻠﻋ ﺪﻋﺎﺴﻳ ﺎﻤﻣ ﻞﻠﺴﺗ ٬ ﺔﻄﻠﺠﻟﺍ ﻞﻴﻜﺸﺗ ﺮﻃﺎﺨﻣ ﻦﻣ ﺪﺤﻟﺍ
ﺔﺠﺴﻧﻷﺍ ﺃ
ﻭ ﻟﺍ ﺪﻳﺮﺸﺘ .
ﺎﻫﺭﺎﻴﺘﺧﺇ ﻲﻐﺒﻨﻳ ﺮﻴﻐﺻ ﺭﺎﻴﻋ ﺕﺍﺫ ﺔﻴﻨﻘﻟﺍ ﻡﻮﻤﻌﻟﺍ ﻰﻠﻋ ﻪﻴﻠﻋ ﺹﻮﺼﻨﻤﻟﺍ ﺝﻼﻌﻠﻟ ﺞﻴﻬﺗ ﻞﻴﻠﻘﺗ ﻞﺟﺃ ﻦﻣ
ﻖﻳﺮﻃ ﻦﻋ
ﻙﺎﻜﺘﺣﻹﺍ ﺔﻳﻮﻣﺪﻟﺍ ﺔﻴﻋﻭﻷﺍ ﺭﺮﺿ ﻊﻨﻤﻟ
.
ﻧﺎﻛ ﺍﺫﺇ ﺔﻴﻨﻘﻟﺍ ﺖ
ﻛ ﺓﺮﻴﺒ ﺬﻬﻓ ﺔﻳﻮﻣﺪﻟﺍ ﺔﻴﻋﻭﻷﺍ ﻰﻠﻋ ﺍ
ﻼﺼﺘﻣ ﻥﺎﻜﻤﻟﺍ ﺲﻔﻧ ﻲﻓ ءﺍﻭﺪﻟﺍ ﻭ ﻡﺪﻟﺍ ﻒﻗﻮﺗ ﻰﻟﺍ ﻱﺩﺆﻴﺳ ﻱﺭﺎﺜﺨﻟﺍ ﺏﺎﻬﺘﻟﻹﺍ ﺙ ﻭﺪﺣ ﺔﻤﻫﺎﺴﻣ ﻭ ﺔﻤﻴﻤﺤﻟﺎﺑ ﻲﻜﻴﻧﺎﻜﻴﻤﻟﺍ .
ﻞﻀﻓﻷﺍ ﻦﻣ ﺓﺩﺭﻭﻷﺍ ﺪﻳﺪﺤﺗ
ﻊﻣ ﺓﺮﻓﻭ ﻖﻓﺪﺗ ﻭ ﺦﺿ
ﻡﺪﻟﺍ ﺪﻨﻋ ﻝﺎﻤﻌﺘﺳﺇ ﺮﻴﻗﺎﻘﻌﻟﺍ
ﻲﺘﻟﺍ ﺎﺑﺎﻬﺘﻟﺇ ﺙﺪﺤﺗﺪﻗ ﺕ
ﻭ ﺔﻳﻮﻴﺤﻟﺍ ﺕﺍﺩﺎﻀﻤﻟﺍ ﻞﻤﺸﺗ ﻲﺘﻟﺍ ﻞﺜﻣ
ﻦﻴﺴﻳﺮﺗﻮﻔﻣﻻﺍ
٬
٬ﻝﻭﺯﺍﺪﻴﻧﻭﺮﺘﻤﻟﺍ ؛ ﻦﻴﺴﻴﻣﻭﺮﺜﻳﺭﺇ ٬ ﻦﻳﺭﻮﺒﺳﻮﻟﺎﻔﻴﺴﻟﺍ ﺎﻳﻼﺨﻟﺍ ءﻼﻛﻭ ٬ ﺭﺎﻘﻋ٬ ﻦﻴﺴﻤﻜﻧﺎﻓ ٬ ﻦﻴﻠﻜﻴﺳﺍﺮﺘﺘﻟﺍ ٬ ﻡﻮﻴﺴﻟﺎﻜﻟﺍ ﺔﻴﻧﺪﻌﻤﻟﺍ ﺡﻼﻣﻷﺍ ﻞﺜﻣ ﺚﻟﻭﺮﺜﻟﺇ٬ﺔﻣﺎﺴﻟﺍ ﻦﻣ ﺎﻫﺮﻴﻏﻭ ﻲﻀﻤﺣ ﻝﻮﻠﺤﻣ ٬ ﻡﻮﻴﺳﺎﺗﻮﺒﻟﺍ ﺭﻭﺭﻮﻠﻛﻭ ﻞﻴﻟﺎﺤﻣ ٬ ﻲﻧﻮﻳﻷﺍ ﺾﻴﻘﻨﻟﺍ ﻝﺎﺜﻤﻟﺍ ﻞﻴﺒﺳ ﻰﻠﻋ ﺕﻻﻮﻠﺤﻤﻟﺍ ﺯﻮﻛﻮﻠﺠﻟﺍ ﻰﻠﻋ ﻱﻮﺘﺤﺗ 5
٪ .
ﺔﻳﺎﻗﻮﻟﺍ ﻲﻓ ﺍﺪﺟ ﻢﻬﻣ ﺝﺍﺭﺩﻹﺍ ﻊﻗﻮﻣ ﻢﻴﻘﻌﺗ / ﺪﻠﺠﻟﺍ ﺮﻴﻬﻄﺗ ﺾﻌﺑ .ﺓﺮﻄﺴﻘﻟﺎﺑ ﺔﻠﺻ ﺎﻬﻟ ﻲﺘﻟﺍ ﺽﺍﺮﻣﻷﺍ ﻦﻣ ﻥﺃ ﻭﺪﺒﻳﻭ ﺕﺍﺩﺍﺪﻌﺘﺳﻹﺍ ﻒﻠﺘﺨﻣ ﺔﻴﻟﺎﻌﻓ ﺖﻤﻴﻗ ﺕﺎﺳﺍﺭﺪﻟﺍ ﺓﺮﻄﺴﻘﻟﺍ ﺙﻮﻠﺛ ﻞﻗﺮﻌﻳ ﺪﻗ ٬ ﻦﻳﺪﻴﺴﻛﺭﻮﻠﻜﻟﺍ .ﻮﻳﺩﻮﻴﻳﺃ ﻲﻧﻭﺪﻴﻓﻮﺑ ﻊﻣ ﺔﻧﺭﺎﻘﻤﻟﺎﺑ ﺔﻴﻓﺮﻄﻟﺍ ﻦﻴﺜﻳﺭﻮﻳ ﻲﻟﻮﺒﻟﺍ ﺓﺩﺎﻣ ﻦﻣ ٬ ﺔﻓﺎﻔﺷ ﺕﺍﺩﺎﻤﺿ ﺓﺮﺜﻜﺑ ﻡﺪﺨﺘﺴﺗ
ﺢﻄﺳ ﻰﻠﻋ ٬ﺵﺎﺸﻟﺍ ﺕﺍﺩﺎﻤﺿ ﻦﻣ ﻻﺪﺑ ﺢﻤﺴﻳ ﺎﻤﻣ ﺓﺮﻄﺴﻘﻟﺍ ﺝﺍﺭﺩﺇ ﺎﻫﺮﻴﻴﻐﺗ ﻥﻭﺩﺮﻤﺘﺴﻣ ﻭ ﻢﺋﺍﺩ ﻞﻜﺸﺑ ﺎﻬﺸﻴﺘﻔﺗﻭ ﺎﻬﺘﺒﻗﺍﺮﻤﺑ
ﺖﻗﻭﺮﻴﻓﻮﺗ ﻰﻟﺇ ﻱﺩﺆﻳ ﺎﻤﻣ ﺐﺒﺳ ﻥﻭﺪﺑ ﺓﺮﻣ ﻞﻛ . ﻦﻴﻔﻇﻮﻤﻟﺍ ﺕﺍﺩﺎﻤﻀﻟﺍ ﻦﻣ ﻦﻴﻋﻮﻨﻟﺍ ﻦﻳﺫﺎﻫ ﺺﺨﻳ ﺎﻤﻴﻓ ﺕﺎﺳﺍﺭﺪﻟﺍ . ﻦﻴﺘﻋﻮﻤﺠﻤﻟﺍ ﻦﻴﺑ ﻒﻠﺘﺨﺗﻻ ﺞﺋﺎﺘﻨﻟﺍ ﻥﻵ ﺔﺤﺿﺍﻭ ﺮﻴﻏ
ﺝﺍﺭﺩﺇ ﻊﻗﻮﻣ ﻊﺿﻮﺗ ﻲﺘﻟﺍ ﻢﻫﺍﺮﻤﻟﺍ / ﻢﻴﺛﺍﺮﺠﻠﻟ ﺩﺎﻀﻣ .ءﺍﻭﺪﻟﺍ ﺪﻨﻋﻭ ﺓﺮﻄﺴﻘﻟﺍ ﺮﻬﻄﻣ ﻭﺃ ﻢﻴﺛﺍﺮﺠﻠﻟ ﺕﺍﺩﺎﻀﻤﺑ ﺔﻠﻠﺒﻤﻟﺍ ﺕﺍﺮﻄﺴﻘﻟﺍ ﺾﻌﺑ
٬ ﻲﻟﺎﺘﻟﺎﺑﻭ
ﻒﻴﻟﺎﻜﺗ CR-BSIﺮﻄﺧ ﻦﻣ ﻞﻠﻘﺗ ﺪﻗ ﺔﻠﻣﺎﻌﻤﺑ ﺔﻄﺒﺗﺮﻤﻟﺍ ﻰﻔﺸﺘﺴﻤﻟﺍ
CRBSI ﻦﻣ ﻥﺎﻨﺛﺇ ﻲﻌﻴﻤﺠﺘﻟﺍ ﻞﻴﻠﺤﺘﻟﺍ
) 1999 ٬ 2000 (
ﺔﻔﻠﻐﻤﻟﺍ ﺕﺍﺮﻄﺴﻘﻟﺍ ﻲﻓﺮﻃ ﻥﺃ ﺕﺮﻬﻇﺃ ﺪﻗ ﺮﻄﺧ ﻦﻣ ﻞﻠﻘﺗ ﻦﻳﺯﺎﻳﺩﺎﻔﻠﺳ / ﻦﻳﺪﻴﺴﻛﺭﻮﻠﻜﻟﺎﺑ ﻰﺿﺮﻤﻠﻟ ﺔﺒﺴﻨﻟﺎﺑ ﻢﻬﺘﻴﻟﺎﻌﻓ ﻊﻣ ﺔﻧﺭﺎﻘﻤﻟﺎﺑ CRBSI ﺕﺍﺮﻄﺴﻘﻟﺍ ﺍﻮﻠﻤﻌﺘﺳﺎﻨﻳﺬﻟﺍﻮﻗﺍﺮﺘﺣﻺﻟ ﺍﻮﺿﺮﻌﺗ ﻦﻳﺬﻟﺍ
.ﺔﻔﻠﻐﻤﻟﺍ ﺮﻴﻐﻟﺍ ﺔﻳﺩﺎﻌﻟﺍ ﻰﻠﻋ ﻦﻜﻟﻭ ٬ ﺔﻔﻠﻜﺗ ﺮﺜﻛﺃ ﻥﻮﻜﺗ ﺪﻗ ﺔﻠﻠﺒﻤﻟﺍ ﺕﺍﺮﻄﺴﻘﻟﺍ
ﻦﻜﻤﻳ ﺎﻤﻣ ﻒﻴﻟﺎﻜﺘﻟﺍ ﺾﻔﺧ ﻰﻟﺍ ﻱﺩﺆﺗ ﺓﺪﻤﻟﺍ ﻝﺍﻮﻃ . ﻰﺿﺮﻤﻠﻟ ﺔﺒﺴﻨﻟﺎﺑ ﺔﻤﻬﻣ ﺎﻫﺭﺎﺒﺘﻋﺇ ﻖﻳﺮﺤﻠﻟ ﺍﻮﺿﺮﻌﺗ ﻦﻳﺪﻟﺍ ﻰﺿﺮﻤﻟﺍ
ﻰﺿﺮﻣneutropenic ﺔﺒﺴﻧ ﻦﻳﺬﻟﺍ ﺎﺻﺇ
ﻢﻬﺘﺑ ﻦﻣ ﺮﺜﻛﺃ 3.3
ﻞﻜﻟ 1٬000
ﻡﻮﻳ . ﻝﺎﻤﻌﺘﺳﺇ ﻊﻣ ﺔﻳﺎﻗﻮﻟﺎﺑ ﺔﻘﻠﻌﺘﻤﻟﺍ ﺕﺎﺳﺍﺭﺪﻟﺍ
ﻦﻣ ﺾﻴﻔﺨﺘﻠﻟ ﺔﻳﻮﻴﺤﻟﺍ ﺕﺍﺩﺎﻀﻤﻟﺍ . ﺔﺒﻗﺍﺮﻣ ﺕﺎﺳﺍﺭﺩ ﺩﻮﺟﻭ ﻡﺪﻌﻟ ﺎﻬﻴﻓ ﻙﻮﻜﺸﻣ ﻰﻘﺒﻳ .BSI ﺮﺜﺨﺘﻟﺍ ﺕﺍﺩﺎﻀﻣ ﻥﺃ ﺕﺎﺳﺍﺭﺪﻟﺍ ﺮﻬﻈﺗ ﻞﺜﻣ
ﻦﻳﺭﺎﺒﻴﻬﻟﺍ
ﻰﻠﻋ ﻞﻜﺷ ﻣ ﻝﻮﻠﺤ ﻟ ﺭﻭﺩ ﺐﻌﻠﺗ ﻞﻴﺴﻐﻠ ﺍ
ﺎﻴﺴﻴﺋﺭ ﺽﺎﻔﺤﻠﻟ
ﻷ ﻥ
ﻦﻴﻔﻴﻠﻟﺍ ﻊﺋﺍﺩﻭ ﻭﺃ ﻂﻠﺠﺘﻟﺍ CR-BSI ﻦﻣ ﻖﻳﺮﻃ ﻦﻋ ﺔﻴﻋﻭﻷﺍ ﻞﺧﺍﺩ ﻢﻴﺛﺍﺮﺠﻠﻟ ءﺎﻋﻭ ﺔﺑﺎﺜﻤﺑ
.ﺓﺮﻄﺴﻘﻟﺍ ﻦﻣ ﻻﺪﺑ ﻡﺪﻟﺍ ﻂﻠﺠﺗ ﻒﻗﻭ ﻰﻟﺍ ﻑﺪﻬﻳ ﺕﺍﺮﻄﺴﻘﻟﺍ ﻞﺴﻏ
.ﻯﻭﺪﻌﻟﺍ ﻦﻳﺭﺎﺒﻴﻬﻟﺍ ﻦﻣ ﻞﻛ ﻥﺃ ﺚﺒﺜﻳ ﻭ
ﻤﻟﺍ ﺤ ﺎﻤﻬﻟ ﻲﺤﻠﻤﻟﺍ ﻝﻮﻠ
ﺾﻴﻔﺨﺘﻟﺍ ﻭ ﺓﺮﻄﺴﻘﻟﺍ ﺡﺎﺘﻔﻧﺇ ﻰﻠﻋ ﺽﺎﻔﺤﻟﺍ ﻲﻓ ﺔﻴﻟﺎﻌﻓ ﻣ ﺏﺎﻬﺘﻟﻹﺍ ﻦ .
ﻞﺧﺍﺩ ﻲﻓﺮﻄﻟﺍ ﺯﺎﻬﺠﻟﺍ ﻦﻋ ﺔﺠﺗﺎﻨﻟﺍ ﻯﻭﺪﻌﻟﺍ ﻦﻣ ﺔﻳﺎﻗﻮﻟﺍ ﺓﺰﻄﺴﻘﻟﺍﺮﻴﻴﻐﺗ ﺔﺳﺎﻴﺳ ﺔﺠﻴﺘﻧ ﺖﻠﻘﻧﺇ ﺔﻴﻋﻭﻷﺍ .
ﻦﻣ ﺔﻳﺎﻗﻮﻠﻟ ﺔﻠﻴﺳﻮﻛ ﺪﻌﻳ ﻲﻨﻴﺗﻭﺮﻟﺍ ﻭﺃ ﻂﻄﺨﻤﻟﺍﺮﻴﻴﻐﺘﻟﺍ ﻯﻭﺪﻌﻟﺍ ﻦﻣ ﺎﻫﺮﻴﻏ ﻭ ﻱﺪﻳﺭﻮﻟﺍ ﺏﺎﻬﺘﻟﻹﺍ .
ﺓﺮﻴﺼﻗ ﺓﺪﻤﻟ ﻲﻓﺮﻄﻟﺍ ﺪﻳﺭﻮﻟﺍﺓﺮﻄﺴﻗ ﺺﺨﺗ ﺕﺎﺳﺍﺭﺩ ﻢﻴﺛﺍﺮﺠﻟﺍ ﻭ ﻱﺭﺎﺜﺨﻟﺍ ﺪﻳﺭﻮﻟﺍ ﺏﺎﻬﺘﻟﻹﺍ ﺕﻻﺎﺣ ﻥﺃ ﺚﺒﺜﺗ ﺮﺜﻛﺃ ﺎﻬﻛﺮﺗ ﺪﻌﺑ ﺩﺍﺩﺰﺗ ﺕﺍﺮﻄﺴﻘﻟﺎﺑ ﺓﺩﻮﺟﻮﻤﻟﺍ .ﺔﻋﺎﺳ72ﻦﻣ
ﻟ ﺮﻄﺴﻘﻟﺍ ﺮﻃﺎﺨﻣ ﻦﻣ ﺪﺤﻠ ﺓﺪﻤﻟ ﺔﻴﻓﺮﻄﻟﺍﺓ
ﺮﻴﺼﻗ ﺓ ﻳ ﺐﺠ
ﺔﻟﺍﺯﺇ ﺪﻨﻋ ﺓﺮﻄﺴﻘﻟﺍ ﺍ ﺓﺭﺩﺎﺑ ﻝﻭﺃ
ﻹ ﻱﺪﻳﺭﻮﻟﺍ ﺏﺎﻬﺘﻟ )
ﻼﺜﻣ
ﺾﻳﺮﻤﻠﻟ ﺔﺣﺍﺭ ﻡﺪﻋ (
ﺍﺫﺇ ٬ ﺕﻻﺎﺣ ﻲﻓ ﺖﺟﺭﺩﺃ
. ﻚﻟﺫ ﻰﻟﺇﺔﺟﺎﺣ ﻙﺎﻨﻫ ﺪﻌﺗ ﻢﻟ ﺎﻣﺪﻨﻋ ﻭ ﺃ ﺉﺭﺍﻮﻄﻟﺍ ﻞﺧﺪﺗ ﻻ ﻲﺘﻟﺍﻭ ﻝﻮﻃﺃ ﺓﺪﻤﻟ ﺔﻴﻓﺮﻄﻟﺍ ﺓﺮﻄﺴﺴﻘﻟﺍ ﺩﻮﺟﻭ
ﺽﺎﻔﺨﻧﺇ ﻲﻓ ﻢﻫﺎﺴﺗ ﻱﺰﻛﺮﻤﻟﺍ ﺪﻳﺭﻮﻠﻟ ﺔﻴﻘﻓﺮﻤﻟﺍ ﺓﺮﻔﺤﻟﺍ ﺍ ﺕﻻﺪﻌﻣ ﻹ
ﻯﻭﺪﻋ ﻊﻣ ﺔﻧﺭﺎﻘﻤﻟﺎﺑ ﻱﺪﻳﺭﻮﻟﺍ ﺏﺎﻬﺘﻟ
ﺔﻴﻓﺮﻄﻟﺍ ﺕﺍﺮﻄﺴﻘﻟﺍ ﺓﺪﻤﻟ
ﺓﺮﻴﺼﻗ .
ﻙﺎﻨﻫ ﺇ ﻲﺠﻬﻨﻣ ﺽﺍﺮﻌﺘﺳ ﻤﺸﻳ
ﻞ 3 ﺭﺩ ﺍ ﺳ ﺕﺎ ) ﻥﺎﻨﺛﺇ ﻥﺎﻘﻠﻌﺘﻳ
ﺇ ﻥﻮﻌﻀﺨﻳ ﻰﺿﺮﻤﺑ ﻰﻟ
ﺔﻳﺬﻐﺘﻟﺍ ﺮﻃ ﻦﻋ ﻖﻳ
ﻦﻘﺤﻟﺍ
ﻭ ﺮﺧﻻﺍ ﺑ ﺍﻮﺠﻟﻮﻋ ﻦﻳﺬﻟﺍ ﻰﺿﺮﻤﻟﺎ
ﺪﻳﻮﻠﺘﺴﻳﺮﻜﺑ ﻭ
ﺔﻳﻭﺩﻷﺎﺑ ﻭ
( crystalloids
ﻸﻟ ﺔﺒﺴﻨﻟﺎﺑ ﺡﺮﺘﻘﻳ ﺭﺎﺒﻜﻟﺍ ﺹﺎﺨﺷ
ﺇ ﺎﻴﺘﺧ ﺭ ﻝﺍﺪﺒﺘﺳﺍ
ﻦﻣ ﻞﻴﻠﻘﺘﻟﺍ ﻦﻜﻤﻳ ﺎﻤﻣ ﺪﻳﺭﻮﻟﺍ ﻞﺧﺍﺩ ﺔﻴﻓﺮﻄﻟﺍ ﺓﺮﻄﺴﻘﻟﺍ ﻙﺎﻨﻫ ﻦﻜﺗ ﻢﻟ ٬ ﻚﻟﺫ ﻢﻏﺭ ﻦﻜﻟ ٬ﻱﺭﺎﺜﺨﻟﺍ ﺪﻳﺭﻮﻟﺍ ﺏﺎﻬﺘﻟﻹﺍ ﺔﺒﻠﻄﺘﻤﻟﺍ ﺕﺍﺮﺘﻔﻟﺍ ﺺﺨﻳ ﺎﻤﻴﻓ ﺔﻳﺎﻔﻜﻟﺍ ﺎﻬﻴﻓ ﺎﻤﺑ ﺕﺎﺳﺍﺭﺩ ﻰﻔﺸﺘﺴﻤﻟﺎﺑ ﻦﻴﻠﻣﺎﻌﻠﻟ ﻦﻜﻤﻳ ﺍﺪﻫ ﻰﻟﺇ ﺔﻓﺎﺿﻹﺎﺑ ٬ﺮﻴﻴﻐﺘﻠﻟ ﻝﺍﺪﺒﺘﺳﻻﺍ ﺓﺮﺘﻓ ﺪﻳﺪﺤﺗ ﻦﻣ ﺪﻳﺰﻤﻟﺍ ﺪﻟﻮﻳ ﻱﺬﻟﺍ ﺕﺎﻔﻋﺎﻀﻣ ٬ﺕﺎﻣﻼﻋ ﺩﻮﺟﻭ ﻥﻭﺪﺑ
.ﻞﻤﻌﻟﺍ ﻝﻭﺃ ﺔﺳﺍﺭﺩ ﺔﺠﻴﺘﻧ ﻰﻟﺇ ﺖﻠﺻﻮﺗ ﺇ
ﻝﺍﺪﺒﺘﺳ ﻟﺍ ﻞﻛ ﺓﺮﻄﺴﻘ
48 ﻌﻳ ﻻ ﺔﻋﺎﺳ ﺮﺒﺘ
ﺩ ﻞﻴﻟ ﻲﺋﺎﺼﺣﺇ ﻊﻣ ﺔﻧﺭﺎﻘﻤﻟﺎﺑ
. ﺓﺮﻄﺴﻘﻠﻟ ﻲﻟﺎﻤﺟﻹﺍ ﺩﺪﻌﻟﺍ ﺙﻼﺛ ﻖﻳﺮﻃ ﻦﻋ ﻪﺘﺳﺍﺭﺩ ﺖﻤﺗ ﻲﻨﻴﺗﻭﺮﻟﺍ ﻝﺍﺪﺒﺘﺳﻹﺍ ﺓﺮﻄﺴﻘﻟﺍ ﺮﻴﻴﻐﺗ ﻥﺃ ﻰﻠﻋ ﻥﻮﻔﺸﻜﻳ ﻦﻳﺬﻟﺍﻭ ﺕﺎﺳﺍﺭﺩ
٬ ﺔﻔﻠﻜﺘﻟﺍ ﺚﻴﺣ ﻦﻣ ﻰﺘﺣ ﻢﻬﻣ ﺔﻋﺎﺳ 72 ﻞﻛ ﺓﺮﻣ ﺕﺎﻴﺻﻮﺘﻟﺍ ﻢﻋﺪﺗ ﺞﺋﺎﺘﻨﻟ ﺍ ﻩﺬﻫ ﻢﺛ ﻦﻣﻭ ﻥﺄﺑ ﺽﺍﺮﻣﻷﺍ ﻰﻠﻋ ﺓﺮﻄﻴﺴﻟﺍ ﺰﻛﺮﻣ ﺎﻫﺍﺮﺟﺃ ﻲﺘﻟﺍ ﺮﻴﻴﻐﺗ
ﻥﻮﻜﻳ ﻥﺍ ﺐﺠﻳﻻ ﺓﺮﻄﺴﻘﻟﺍ ﻛﺃ ﺭﺮﻜﺘﻣ ﻞﻜﺸﺑ
ﺮﺜ
. 72 ﻦﻜﻟﻭ
ﻞﻛ ﺔﻋﺎﺳ
ﻲﻓ ﺕﺮﺸﻧ ﺕﺎﺳﺍﺭﺩ ﺙﻼﺛ 2001
ﻨﻋ ﻪﻧﺃ ﻰﻟﺇ ﺮﻴﺸﺗ ﺪ
ﺐﺒﺴﻳ ﻱﺬﻟﺍ ﻞﺋﺎﺴﻟﺍ ﺐﻜﺳ ﻲﻓ
ﺮﺠﻟﺍ ﻮﻤﻧ ﺍﺛ
ﻴ ﻢ
) ﻪﺗﺎﻘﺘﺸﻣﻭ ﺔﻴﻨﻫﺪﻟﺍ ﺕﺎﺒﻠﺤﺘﺴﻤﻟﺍ ﻝﺎﺜﻤﻟﺍ ﻞﻴﺒﺳ ﻰﻠﻋ (
ﻰﺻﻮﻳ ﺑ ﺕﺍﺮﻴﻴﻐﺘ ﺔﻴﻨﻴﺗﻭﺭ
ﻟ ﺔﻋﻮﻤﺠﻤ
ﻩﺬﻫ ﻥﻷ ٬ ﺐﻳﺮﺴﺘﻟﺍ ﺪﻌﺗ ﺓﺮﻴﺧﻻﺍ
ﻌﻛ ﻞﻣﺎ ﻄﺧ ﻴ ﺮ
CR-BSI ﺔﻌﺟﺍﺮﻣ ٬ ﻚﻟﺫ ﻰﻠﻋ ﺓﻭﻼﻋ ﺪﻨﺘﺴﺗ ﺔﻴﺠﻬﻨﻣ
ﻰﻠﻋ 13
ﺱﺭﺩ ﺖﻨﻳﺎﻋ ﺦﺿ ﺓﺮﻴﺗﻭ ﺇ
ﺕﺎﻋﻮﻤﺠﻣ ﻝﺍﺪﺒﺘﺳ
ﺔﺻﻼﺧ (ﺔﻴﺒﻧﺎﺠﻟﺍ ﻭ ﺔﻴﻄﺳﻮﻟﺍ ﺕﺍﺮﻄﺴﻘﻟﺍ) ﺪﻳﺭﻮﻟﺍ ﻰﻠﻋ ﻱﻮﺘﺤﺗ ﻻ ﻲﺘﻟﺍ ﺕﺎﻋﻮﻤﺠﻤﻟﺍ ﺮﻴﻴﻐﺗ ﻥﺃ ﺮﻣﻻﺁ ﺔﻋﺎﺳ 96 ﻦﻣ ﺮﺜﻛﺃ ﺓﺮﺘﻔﻟ ﻡﺪﻟﺍ ﺕﺎﺠﺘﻨﻣ ﻭﺃ ﻡﺪﻟﺍ٬ ﻥﻮﻫﺪﻟﺍ ﻭﺪﺒﻳ ﺔﻟﻮﻤﺤﻤﻟﺍ ﺔﺨﻀﻤﻟﺍ ﻡ ﺎﻈﻧ ٬ ﺍﺮﻴﺧﺃﻭ ﺮﻄﺧ ﻞﻜﺸﺗ ﻻ ﻡﺎﻤﺼﻟﺍ ﺯﺎﻬﺟ ﻦﻣ ﺎﻧﺎﻣﺃ ﺮﺜﻛﺃ ٬ ﻡﺪﻟﺍ ﻦﻣ ﺕﺎﻨﻴﻋ ﻊﻤﺟﻭ ٬ ﺔﻳﻭﺩﻻﺍ ﻦﻘﺤﻟ ﻡﺪﺨﺘﺴﻤﻟﺍ)
ﺙﻮﻠﺜﻠﻟ ﻊﺿﺎﺨﻟﺍ٬ (ﺕﺎﻌﻓﺩ ﺓﺭﺍﺩﺇ .ﺕﻻﺎﺤﻟﺍ ٪ 50-45 ﻲﻓ ﺔﻟﻮﻤﺤﻤﻟﺍ ﺕﺎﺨﻀﻤﻟﺍ ﻡﺎﻈﻧ ﻥﺎﻤﺿ ﻱﺭﻭﺮﻀﻟﺍ ﻦﻣ ﺮﻴﻏ ﻦﻣ ﻲﻃﺎﻄﻤﻟﺍءﺎﺸﻐﻟﺍ ﻞﺧﺍﺩ ﺯﺎﻬﺠﻟﺍ ﺝﺍﺭﺩﺇ ﺪﻨﻋ ﻢﻘﻌﻣ ﺮﻴﻏ ﻑﺎﻔﺸﺑ ﺮﺷﺎﺒﻣ ﻝﺎﺼﺗﺇ ﻭﺃ ءﺍﻮﻬﻠﻟ ﻪﺿﺮﻌﺗ
.ﺪﻔﻨﻤﻟﺍ ﻰﻟﺇ ﺓﺮﺑﻹﺁ ﻝﺎﺧﺩﺇ ﺪﻨﻋ
ﺔﺻﻼﺧ
ﺔﻴﻬﻴﺟﻮﺘﻟﺍ ﺉﺩﺎﺒﻤﻟﺍ ﻲﺘﻟﺍ
ﻡﺎﻋ ﺕﺮﺸﻧ 2002
ﻻ
ﻡﻮﻴﻟﺍ ﺔﺤﻟﺎﺻ ﻝﺍﺰﺗ ﺑ ﺎﻬﻓﺍﺮﺘﻋﻹ٬
ﺔﻴﻤﻫﺄ ﺓﺰﻬﺟﻷﺍ
ﺔﻴﻄﻴﺤﻤﻟﺍ ﺔﻴﻋﻭﻷﺍ ﻞﺧﺍﺩ ﺑ ﺔﻳﺎﺻﻮﻟﺍ ﻭ
ﻦﻣ ﺩﺪﻌ
ﺕﺎﻴﺠﻴﺗﺍﺮﺘﺳﻻﺍ ﻟ
ﺭﺎﺸﺘﻧﺍ ﻊﻨﻣ ﻭﺃ ﻞﻴﻠﻘﺘﻠ
ﺔﻳﺪﻌﻤﻟﺍ ﺽﺍﺮﻣﻷﺍ .
ﻩﺬﻫ ﻹﺍ ﻴﺠﻴﺗﺍﺮﺘﺳ ﻭ ﺕﺍﺮﻴﻴﻐﺘﻟﺍ ﻰﻠﻋ ﺮﻘﺗ ﺔ
ﺔﺟﺎﺤﻟﺍ
ﺔﻴﻤﻨﺘﻟﺍ ﻰﻟﺇ ﻹ
ﺮﻴﻓﻮﺗﻭ ﻲﺟﻮﻟﻮﻨﻜﺘﻟﺍ ﻡﺪﻘﺘﻟﺍ ﺯﺍﺮﺑ
ﺔﻴﺤﺼﻟﺍ ﺔﻳﺎﻋﺮﻟﺍ .
ﻳ ﻆﺣﻼ ﻥﺃ ﻚﻟﺪﻛ ﻲﻓ ﺎﻣﺎﻫ ﺍﺭﻭﺩ ﺾﻳﺮﻤﻠﻟ
ﺇ ﺫﺎﺨﺗ
ﺔﻳﻮﻣﺪﻟﺍ ﺔﻴﻋﻭﻷﺍ ﻞﺧﺍﺩ ﺯﺎﻬﺠﻟﺍ ﻊﺿﻮﻟ ﺭﺍﺮﻘﻟﺍ ﻊﻗﻮﻣﻭ ﺍ
ﺪﻳﺪﺤﺘﻟ . ﺎﻤﻛ ﻞﻗﻵﺍ ﻰﻠﻋ ﻲﻐﺒﻨﻳ ﻢﻬﻏﻼﺑﺇ
ﺴﻨﺘﻟﺍ ﺏﺎﺒﺳﺃ ﻦﻋ ﺐﻴ
.
ﺐﺠﻳ ﻊﻴﺠﺸﺗ ﻰﺿﺮﻤﻟﺍ
ﻰﻠﻋ ﻍﻼﺒﻟﺍ ﻢﻳﺪﻘﺗ ﻦﻋ
ﺝﺎﻋﺯﺇ ﻱﺃ
٬ ﺱﺎﺴﺣﻹﺍ ﺑ
ﺮﺤﻟﺍ ٬ ﻢﻟﻷﺎ ﻳ
٬ ﻖ ﺥﺎﻔﺘﻧﺇ
ﻒﻳﺰﻧ ﻭﺃ .
ﺔﺣﺍﺭ ﻖﻴﻘﺤﺗ ﻦﻜﻤﻳ ﺍ
ﻝﺎﺧﺩﺇ ﻝﻼﺧ ﺾﻳﺮﻤﻟ
ﻭ ﻲﻌﺿﻮﻣ ﺭﺪﺨﻣ ﻡﺍﺪﺨﺘﺳﺎﺑ ﺓﺮﻄﺴﻘﻟﺍ ﺏﺎﻨﺘﺟﺇ
ﺓﺩﺪﻌﺘﻣ ﺕﻻﻭﺎﺤﻣ ﻝﺎﺧﺩﺈﻛ
ﺪﻳﺭﻮﻟﺍ ﻲﻓ ﻻﻮﻴﻧﺎﻜﻟﺍ .
٬ ﻰﺿﺮﻤﻟﺍ ﺔﻣﻼﺳ ﻥﺎﻤﻀﻟ ﻳ
ﺻﻮ ﻰ ﻞﻴﺠﺴﺘﺑ
ﻲﻓ ﺕﺎﻏﻼﺒﻟﺍ ﺔﻘﻴﻗﺩ ﻖﺋﺎﺛﻭ
ﻟ ﺔﻌﺟﺍﺮﻤﻠ ﻊﺒﺘﺘﻟ
ﻊﻴﻤﺟ
ﻯﻭﺪﻌﻟﺍ ﻲﺸﻔﺗ ﺕﻻﺎﺣ .
ﻩﺬﻫ ﻖﺋﺎﺗﻮﻟﺍ ﻳ
ﻨ ﻦﻤﻀﺘﺗ ﻥﺃ ﻲﻐﺒ :
ﺖﻗﻭﻭ ﺦﻳﺭﺎﺗ
ﺝﺍﺭﺩﺇ ﺓﺮﻄﺴﻘﻟﺍ ﻭ
ﻤﻟﺍ ﻦﻘﺤﻟﺍ ﻖﻳﺮﻃ ﻦﻋ ﻝﻮﻠﺤ .
ﺔﻴﻋﻭﻷﺍ ﻞﺧﺍﺩ ﺔﻴﻓﺮﻄﻟﺍ ﺓﺰﻬﺟﻷﺍ ﺓﺭﺍﺩﺇ
ﺓﺮﻄﺴﻘﻟﺍ ﺝﺍﺭﺩﺇ ؟ﻱﺭﻭﺮﺿ
ﻢﻌﻧ
ﻻ
ﻖﻳﺮﻓ ﻙﺎﻨﻫ ﻦﻴﺼﺘﺨﻤﻟﺍ ﻦﻣ
ﻢﻌﻧ
ﻻ
ﺪﻳﺭﻮﻟﺍ ﺔﻳﺎﻬﻧ ﺭﺎﻴﺘﺧﺇ
ﻑﺎﻔﺷ ﻭ ﻢﻠﻴﻔﺑ ﺝﺍﺭﺩﻹﺍ ﻊﻗﻮﻣ ﺔﻴﻄﻐﺗ
؟ ﺓﺮﻄﺴﻘﻟﺍ ﺩﻮﺟﻭ ﻱﺭﻭﺮﺿ ﻞﻫ
ﻢﻌﻧ ﻻ
ﺏﺮﺴﺘﻟﺍ ﻖﻳﺮﻃ ﻦﻋ ﺝﻼﻌﻟﺍ ﻪﺘﻟﺍﺯﺇ
ﻢﻌﻧ ﻻ
ﻱﺪﻳﺭﻮﻟﺍ ﺏﺎﻬﺘﻟﻻﺍ ﺩﻮﺟﻭ ﻦﻣ ﻖﻘﺤﺗ ﻞﺴﻐﻟﺍ
ﻢﻌﻧ ﻻ
ﺔﻟﺍﺯﺇ ﻞﻛﺓﺮﻄﺴﻘﻟﺍ ﻝﺍﺪﺒﺘﺳﺍ ﻝﺍﺪﺒﺘﺳﺇﻭ ﺓﺮﻄﺴﻘﻟﺍ ﻝﺍﺪﺒﺘﺳﺇ ﻭ ﺔﻋﺎﺳ 72- 48 ﺦﻀﻟﺍ ﺔﻋﻮﻤﺠﻣ 96-72 ﻞﻛ
Ringraziamenti
Questo foglio informativo di Best Practice è stato sviluppato da Joanna Briggs Institute e la revisione e l’orientamento degli autori.
Inoltre questo foglio informativo di Best Practice è stato riesaminato dagli candidati Internazionale di Joanna Briggs Collaborating Centres:
• Dr Carole Pellowe, Thames Valley Centre for Evidence Based Nursing and Midwifery, Faculty of Health and Human Sciences, Thames Valley University, UK.
• Chaweewan Thongchai, Thailand Centre for Evidence Based Nursing and Midwifery, Faculty of Nursing, Chiang Mai University, Thailand.
• Judith Berry, CNAHS, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
• Emily Lannan, CNAHS, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
• Bridie Kent, School of Nursing, Faculty of Medical and Health Sciences, University of Auckland, New Zealand.
Bibliografia
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2. Guidelines for the Prevention of Intravascular Catheter-
Related Infections. Centres for Disease Control Recommendations and Reports, August 9, 2002.
3. Pratt RJ, Pellowe CM, W ilson JA, Loveday HP, Harper
PJ, Jones SRLJ, McDougall C, W ilcox MH. epic2:
National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in
England. The Journal of Hospital Infection, 2007;
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K and Nagy S. Optimal timing for intravenous administration set replacement (Review). Cochrane Database of Systematic Review; 2005 Issue 4.
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Journal of Advanced Nursing; 2002; 55(6): 715-722.
6. Halton K, Graves N. Economic Evaluation and Catheter-related Bloodstream Infections. Emerging Infectious Diseases 2007; 13(6).
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review process, Levels of evidence. Accessed online 2006
http://www.joannabriggs.edu.au/pubs/approach.php 8. Pearson A, W iechula R, Court A, Lockwood C.
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