在COVID-19患者中,与中线相关的血流感染
Nicole Caetano Acosta1, Rodrigo do Nascimento Ceratti2,3, Marina Scherer Santos1
1Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre, RS, Brazil.
Revista latino-americana de enfermagem
|July 31, 2024
概括
较长时间的机械通风和倾斜的位置增加了COVID-19重症监护室患者中中枢线相关血流感染 (CLABSI) 的风险. 这些发现突出了在这个弱势群体中促进CLABSI发展的关键因素.
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
- 流行病学 流行病学
背景情况:
- 中心线相关的血液感染 (CLABSI) 是重症监护室 (ICU) 的一个重大问题.
- 在ICU中的COVID-19患者通常需要侵入性干预,增加感染风险.
- 了解COVID-19患者中CLABSI的风险因素对于感染控制至关重要.
研究的目的:
- 研究COVID-19的ICU患者中CLABSI和临床/护理变量之间的关联.
- 为了确定在这个患者队列中导致CLABSI发病的特定因素.
主要方法:
- 进行了一项病例控制研究.
- 该研究包括70名患有CLABSI (病例) 的COVID-19患者和70名没有CLABSI (对照).
- 分析了临床和护理变量,以确定与CLABSI的关联.
主要成果:
- 患有CLABSI的患者在机械呼吸的持续时间较长 (P=0.014) 并且更有可能处于倾斜的位置 (P=0.017).
- 与倾斜定位相关的CLABSI的几率比为2.41 (95% CI:1.22-4.81).
- 截至CLABSI发病的中位时间为11天.
结论:
- 长时间的机械通风和倾斜的位置是CLABSI在COVID-19ICU患者的显著风险因素.
- 这些发现强调了警监测和感染预防策略对于机械通风和躺卧的患者的重要性.
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