中枢静脉导管尖端的殖民化和相关的血流感染在常规导管更换下严重烧伤的患者
Kibum Jeon1, Seung Beom Han2, Dohern Kym3
1Infection Prevention and Control Unit, Hallym University Hangang Sacred Heart Hospital, Seoul, Republic of Korea; Department of Laboratory Medicine, Hallym University Hangang Sacred Heart Hospital, Seoul, Republic of Korea.
American journal of infection control
|February 14, 2024
概括
在严重烧伤患者中,常规的中央静脉导管 (CVC) 改变显示出20%的殖民率. 导管相关的血流感染 (BSI) 与特定因素有关,这表明CVC在低风险人群中可能延长使用.
科学领域:
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
- 烧伤手术 烧伤手术
背景情况:
- 常规的中央静脉导管 (CVC) 改变在严重烧伤患者中很常见.
- 在这个人群中,关于CVC尖端殖民和相关的血液感染 (BSI) 的数据有限.
研究的目的:
- 评估CVC殖民率,并识别与BSI相关的病原体,严重烧伤患者进行常规的CVC改变.
主要方法:
- 对214名严重烧伤患者的回顾性审查.
- 对686对CVC尖端和来自CVC的同时血液培养的分析,每7天间隔变化.
主要成果:
- 20.0%的CVC显示病原体殖民,59.1%导致BSI.
- 与导管相关的BSI相关的因素包括非火焰烧伤,大烧伤表面积 (≥30%),股骨导管,BSI期间的CVC变化和置换疗法.
- 格拉姆阴性细菌,特别是Acinetobacter baumannii,Klebsiella pneumoniae和Pseudomonas aeruginosa,是最常见的BSI病原体.
结论:
- 在常规CVC变化严重烧伤患者中,CVC定居率并不高.
- 在等待进一步的前性研究之前,延长CVC持续时间可能对管相关的BSI风险较低的患者是可行的.
相关概念视频
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
156
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
156
Burn Injuries
2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.5K
Infection
7.9K
When a pathogen enters the body and reproduces, it can cause an infection, damage body cells, and cause illness symptoms that eventually lead to disease. Therefore, its prevention requires breaking the chain of infection.
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
7.9K
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K


