周围插入的中央导管与血流感染相关的发生,危险因素和病原体,一个单一的中心研究研究
Rajalakshmi Arjun1, Vettakkara Kandy Muhammed Niyas2, Aswathy Sasidharan3
1Senior Consultant in Infectious Diseases, KIMSHEALTH, Trivandrum, India.
Journal of infection prevention
|June 19, 2023
概括
外围插入的中央导管 (PICC) 存在风险,并发症率为28.1%. 血栓形成和感染,特别是格拉姆阴性血流感染,是需要长期输液治疗的患者最常见的问题.
科学领域:
- 医疗器械 医疗器械
- 传染性疾病 传染性疾病
- 血管接入 血管接入
背景情况:
- 周围插入的中央导管 (PICC) 对于各种医疗机构的长期静脉治疗至关重要.
- PICCs被外围插入,但在中央的大容器中终结.
- 它们的广泛使用需要了解相关的并发症.
研究的目的:
- 调查PICC相关并发症的发生率和类型.
- 识别与PICC相关的特定感染及其致病原体.
- 分析南印度一家三级医院的患者人口统计和感染模式.
主要方法:
- 一个追溯分析PICC插入和随访数据跨越9年.
- 检查患者人口统计和PICC相关的感染数据.
- 计算每1000个导管天的并发症和感染率.
主要成果:
- 总体PICC相关并发症率为28.1% (每1000个PICC天4.98).
- 血栓形成是最常见的并发症,其次是感染 (PABSI或局部感染).
- 与PICC相关的血流感染 (PABSI) 发生在每1000个导管日中有1.34次,主要是由格兰阴性棒 (85%) 引起的.
结论:
- 血栓形成和感染是与PICC相关的最常见并发症.
- 在这项研究中观察到的PABSI率与以前的研究中发现的结果相似.
- 了解这些并发症对于优化PICC使用和患者护理至关重要.
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