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周围插入的中央导管固定用烯酸和血流感染:一个回顾性队列研究

Yoshihiro Kurata¹, Gaku Ohira¹, Koichi Hayano¹

¹Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

JPEN. Journal of parenteral and enteral nutrition

|December 4, 2023

概括

对于外围插入的中央静脉导管的烯酸 (CG) 固剂减少了成年患者的疑似感染和导管尖端迁移. 需要进一步的研究来确认对其他不良事件的影响.

科学领域:

医疗器械医疗器械
血管接入血管接入
手术用材料手术用材料

背景情况:

周围插入的中央静脉导管 (PICC) 对于抗癌治疗,外科护理和营养支持至关重要.
管理PICC包括预防感染,迁移和血栓形成等不良事件.
烯酸粘合剂 (CG) 是用于固定PICC的潜在材料.

研究的目的:

评估烯酸粘剂 (CG) 在管理周围插入的中央静脉导管 (PICC) 在成人患者中的有效性.
评估CG固定对与PICC相关的不良事件的影响,包括感染,尖端迁移和血栓形成.

主要方法:

一项回顾性队列研究,涉及411名需要中央静脉导管的成年患者.
与CG固定 (n=158) 和其他带 (对照组,n=253) 的患者之间的不良事件比较.
评估电子医疗记录,胸部放射和CT扫描,以评估感染,尖端迁移和血栓形成.

主要成果:

在CG组中,临床怀疑的导管感染发生率显著降低 (3.2%对9.1%,P=0.03).
在CG组中,导管尖的迁移显著减少 (8.2 ± 6.7毫米对比15.0 ± 15.8毫米,P<0.01).
两组之间没有观察到血液或导管培养确认的感染的显著差异;对照组中发生了两个静脉血栓.

结论:

对PICC的烯酸盐 (CG) 固定与胃肠道恶性瘤患者因疑似感染而减少了导管切除有关.
需要在更大的队列中进行进一步的调查,以确认CG担保对PICCs在其他不良事件方面所带来的好处.

关键词:

导管尖的迁移导管尖的迁移与导管相关的血液感染.周围插入的中央静脉导管.

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