Current status and future of needleless infusion joints

Intravenous infusion therapy refers to the injection of fluids, drugs, nutritional support and blood transfusion by intravenous route. It is a highly technical and professional treatment. In the past, intravenous infusion therapy was only an additional treatment for critical illness. Today, intravenous infusion has become an important means of treatment and support in medical care. According to statistics: in 1990, 81% of nurses spent 75% of their working time on intravenous infusion therapy. Today, more than 80% of patients receive different forms of intravenous fluid therapy during their hospital stay, and treatment often lasts until the end of treatment.

With the continuous expansion of intravenous infusion therapy, the risk of blood source infection caused by occupational exposure caused by acupuncture injury is becoming more and more serious. About 200,000 nurses are stabbed by needles every year, and there are more than 20 kinds of blood. The harm of the source disease. At the same time, as patient safety has become a public health concern of widespread concern around the world, nurse safety issues that play a key role in patient safety have also been raised on the agenda.

Under the influence of the above-mentioned global environment, the new concept of intravenous infusion - no needle infusion came into being. Needle-free infusion system refers to a type of device designed to repeatedly deliver or withdraw liquid to the infusion line without needing a needle. This system can realize one-way or two-way flow of liquid, and the two-way flow of liquid allows the user to add medicine or return Pump the liquid. - SFDA "Guidelines for Technical Review of Product Registration for Single-use Infusion Devices" 2011.

The needle-free infusion connector can avoid repeated puncture with the needle and reduce the stab wound of the medical staff; it has a positive pressure system to prevent the blood from flowing back into the pipeline and causing blockage. It is best used together with the indwelling needle, PICC and CVC; it is simple in clinical operation. Easy to use, it can be connected with syringes, infusion sets and blood transfusions; fully enclosed infusion reduces the chance of infection.

In 2013, the statistics of the Chinese Nursing Association began to use needle-free joints in 2005, and the rate of acupuncture killing by relevant medical personnel was reduced by 50%. In 2009, the People's Military Medical Publishing House published the "Infusion Treatment Nursing Practice Guide and Implementation Rules" (referred to as INS) to promote the use of needle-free infusion joints in various medical units. At the same time, Goal 5 and Goal 9 of the 2009 Safety and Quality Objectives for Intravenous Treatment issued by the Health Department of Guangdong Province advocate the use of needle-free infusion systems. In the international arena, the 2011 US INS IV Infusion Therapy Practice Standard emphasizes needle-free infusion as a safety concept. According to statistics, in 2011, 97% of infusion connectors used in hospitals in China were heparin caps. The annual use of heparin caps was 332 million, and the use of needle-free infusion joints was only 3%, and the annual usage was less than 10 million. (Related data from the 2012 China Health Statistics Yearbook)

It can be seen that the utilization rate of needleless infusion joints in China is very low at this stage. Compared with heparin caps, needle-free infusion joints have an absolute advantage. With the improvement of the living standards of our residents, the deepening of medical insurance work, and the increasing awareness of residents' safety, it is expected that the use rate of needle-free infusion joints in intravenous infusion therapy in China will reach 50% in 2018. It is predicted that the annual use of infusion joints in China will reach 647 million in 2018, and the amount of needle-free infusion joints will reach 324 million.

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