在多药耐药的殖民患者中,中出口处静脉导管的安全性
Arianna Bartoli1, Mattia Donadoni1, Massimiliano Quici1
1Department of Biomedical and Clinical Sciences "Luigi Sacco," University of Milan, Luigi Sacco Hospital, Milan, Lombardy, Italy.
The journal of vascular access
|July 19, 2023
概括
腿部表面静脉中的中静脉导管对于患有多药耐药细菌的患者来说是安全的. 这项研究发现,在阳性直肠拭子的患者中,导管相关感染的风险没有增加.
科学领域:
- 传染性疾病 传染性疾病
- 血管接入 血管接入
- 医疗设备感染 医疗设备感染
背景情况:
- 带有大腿中部出口部位的表面大腿静脉通道提供了一种可行的静脉接入方法,特别适用于激动或妄想的患者.
- 越来越多的多药耐药 (MDR) 细菌菌株的流行率构成了重大的临床挑战,患者殖民率不断上升.
- 在殖民患者中评估与静脉导管相关的感染风险对于患者的安全至关重要.
研究的目的:
- 评估中线相关血流感染 (CLABSI) 和导管相关血流感染 (CRBSI) 在中导管患者的发病率.
- 具体评估这些导管的安全性和感染风险,在患有MDR细菌阳性直肠拭子的患者中.
主要方法:
- 追溯观察性研究分析了2021年5月至2022年11月的数据.
- 包括带有大腿中间导管的患者,记录监测直肠拭子结果.
- 在住院期间通过血液和导管尖培养收集关于CLABSI和CRBSI的数据.
主要成果:
- 在602名患者中,有304人接受了直肠拭子,其中128人 (42.1%) 呈MDR阳性.
- 确定了9种CLABSI和3种CRBSI;只有两种CLABSI发生在阳性直肠拭子患者中.
- 在总人口和阳性直肠拭子患者之间,或在阳性和阴性拭子患者之间,在CLABSI/CRBSI率上没有观察到统计学上显著的差异.
结论:
- 在患有MDR细菌殖民的患者中,用大腿中部出口部位对表面大腿静脉进行管是安全的手术.
- 这种方法似乎不会增加这种患者群体中与导管相关的血液感染的风险.
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