BACKGROUND Due to their frequent use, peripheral venous catheters (PVCs) are of importance in terms of catheter-related infections and their prevention. In 2017, revised national guidelines for the prevention of PVC-related infections were published in Germany. AIM To describe PVC handling practices and assess the implementation of national guidelines for the prevention of PVC-related infections in German acute care hospitals, 10 months after their release. METHODS An online survey on the management of PVCs in hospital wards was conducted. For this, 1191 acute care hospitals participating in the national surveillance system for healthcare-associated infections in Germany were invited to participate. Each hospital was asked to complete the survey for an intensive care unit (ICU), as well as a medical ward and a surgical ward. Participation in the survey was voluntary. FINDINGS In total, 701 hospitals (response rate 59%) participated and provided data on 1449 wards (599 ICUs, 446 medical wards, 404 surgical wards). Approximately 43% of wards reported that they had implemented the new national guidelines where necessary. Structured surveillance for PVC-associated infections was established in only 21% of wards. While 94% of wards reported the inclusion of aspects of PVC handling in their general infection prevention education, questions on the training methods yielded diverse results. Approximately 59% of wards reported that they did not routinely use a combination of alcohol and a remanant disinfectant for skin disinfection before PVC insertion. CONCLUSION Generally, PVC management in Germany is well organized. However, potential for improvement was identified, particularly considering surveillance and implementation of selected national guidelines.

中文翻译：

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德国外周静脉导管的管理和指南的实施：一项全国调查。

背景技术由于其频繁使用，外周静脉导管(PVC)在导管相关感染及其预防方面具有重要意义。2017 年，德国发布了经修订的 PVC 相关感染预防国家指南。目的 描述 PVC 处理实践并评估德国急性护理医院预防 PVC 相关感染的国家指南的实施情况，该指南发布 10 个月后。方法对医院病房PVCs管理情况进行在线调查。为此，参加了德国医疗相关感染国家监测系统的 1191 家急诊医院应邀参加。每家医院都被要求完成对重症监护病房 (ICU) 以及内科病房和外科病房的调查。参与调查是自愿的。结果 总共有 701 家医院（响应率 59%）参与并提供了 1449 个病房（599 个 ICU、446 个内科病房、404 个外科病房）的数据。大约 43% 的病房报告说，他们已在必要时实施了新的国家指南。只有 21% 的病房建立了 PVC 相关感染的结构化监测。虽然 94% 的病房报告在他们的一般感染预防教育中包含了 PVC 处理方面的内容，但有关培训方法的问题产生了不同的结果。大约 59% 的病房报告说，他们在 PVC 插入前没有常规使用酒精和残留消毒剂的组合对皮肤进行消毒。结论 一般来说，德国的 PVC 管理组织良好。但是，已经确定了改进的潜力，