在接受外周腹腔营养的患者中,血流感染的危险因素
Masafumi Shimoda1, Yoshiaki Tanaka1, Kozo Morimoto1
1Respiratory Disease Center, Fukujuji Hospital, Japan Anti-Tuberculosis Association (JATA), Japan.
Internal medicine (Tokyo, Japan)
|May 15, 2024
概括
通过外周静脉导管 (PVC) 进行外周亲肠道营养 (PPN) 可以导致血液感染 (BSI). 较长的PPN和所有IV液的输液时间是PVC相关BSI发展的关键风险因素.
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
- 临床药房 临床药房
背景情况:
- 周围静脉导管 (PVC) 用于液体治疗,包括周围亲肠道营养 (PPN).
- 通过PVC给药PPN可能会增加血流感染 (BSI) 的风险,称为PVC相关的BSI (PVC-BSI).
- 风险因素和PVC-BSI的发病率仍然不清楚,需要进一步调查.
研究的目的:
- 为了确定接受PPN治疗的患者中PVC-BSI的发病率.
- 确定与PVC-BSI发展相关的风险因素.
- 评估BSI发展所识别的风险因素的预测价值.
主要方法:
- 从2022年8月到2023年11月,从391名通过PVC接受PPN的患者回顾性数据收集.
- 20名患有BSI的患者 (BSI组) 与371名没有患有BSI的患者 (无感染组) 的比较.
- 分析PPN和所有静脉注射液的平均每日输液时间作为潜在的风险因素.
主要成果:
- 在PPN治疗期间,PVC-BSI的发病率为5.1%.
- 在BSI组的患者中,PPN和所有静脉注射液的平均每日输液时间显着更长.
- 平均每日输液时间的PPN≥12.0小时和所有IV液体≥18.0小时被确定为BSI的显著预测风险因素.
结论:
- 这项研究确定了接受PPN治疗的患者中PVC-BSI的发病率.
- 延长PPN和整体静脉注射液的平均每日输液时间是发展BSI的重要风险因素.
- 了解这些风险因素可以帮助预防与PNP相关的血液感染.
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
144
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,...
144
Factors Affecting the Risk of Infection
11.8K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.8K
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
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
117
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
117
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
Enteral Nutrition I: Orogastric and Nasogastric Feeding
254
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
254


