我可以安全地放弃一个有物质使用障碍的病人家用一个外围插入的中央导管吗?
Ayesha Appa1, Joshua A Barocas2
1Division of HIV, Infectious Diseases, and Global Medicine, San Francisco General Hospital, University of California, San Francisco.
NEJM evidence
|February 6, 2024
概括
患有物质使用障碍的患者可以使用外围插入的中央导管 (PICC) 安全地出院,进行长时间的抗生素治疗. 这种方法解决了在美国过量服用危机期间注射相关感染的增加.
科学领域:
- 传染性疾病 传染性疾病
- 成 药物 药物 药物 药物
- 医院 医院 医疗 医疗 医疗 医疗
背景情况:
- 与注射相关的感染率的上升,如内心炎和骨髓炎,是一个重大问题.
- 美国的过量服用危机加剧了对患有物质使用障碍的患者管理严重感染的挑战.
- 对于需要长期服用肠道抗生素的患者,医院出院规划是复杂的.
研究的目的:
- 评估放出有物质使用障碍 (SUDs) 的患者在外围插入的中央导管 (PICCs) 上进行腹腔抗生素治疗的安全性和可行性.
- 确定家庭PICC管理是否是注射相关感染患者的可行选择.
主要方法:
- 对SUD患者的回顾性图表回顾,这些患者的SUDs与PICCs一起出院,用于亲肠道抗生素.
- 分析并发症的发生率,治疗的坚持和再入院率.
- 评估影响家庭PICC管理成功的因素.
主要成果:
- 很大一部分SUD患者可以在家用PICC安全管理.
- 在这个群体中,与家庭PICC使用相关的并发症率与一般患者群体相比较.
- 在遵守抗生素治疗方案和PICC护理协议的患者中观察到成功的治疗结果.
结论:
- 释放患有物质使用障碍的患者在长期使用门抗生素时在家中使用PICC是一种安全有效的策略.
- 这种方法可以改善获得护理的机会,并可能降低医疗保健成本.
- 进一步的研究应该集中在优化患者选择和家庭PICC管理的支持系统上.
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