在家庭静脉注射抗生素治疗的背景下,中线导管
Elisabeth Lafuente Cabrero1,2, Roser Terradas Robledo1,2, Anna Civit Cuñado1,2
1Author Affiliations: Department of Nursing Methodology, Quality and Research (Terradas Roblado, Lacueva Perez) and Home Hospitalization Department (Estevez Estevez), Hospital del Mar (Lafuente Cabrero, Civit Cuñado, García Sardelli, Molina Huerta), Barcelona, Spain; Department of Public Health, Mental Health and Maternal and Child Health Nursing (Esquinas) and Department of Basic Nursing (Tortosa), Faculty of Nursing, University of Barcelona, Spain.
中线导管对家庭静脉注射抗生素治疗 (HIAT) 有效,并发症率低. 使用抗逆流连接器和量身定制的导管选择可以进一步改善接受HIAT的患者的结果.
科学领域:
- 血管接入 血管接入
- 传染性疾病 传染性疾病
- 主页 医疗保健 医疗保健
背景情况:
- 家庭静脉注射抗生素治疗 (HIAT) 依赖于可靠的血管接入.
- 短的外围导管对于延长HIAT的耐用性有限.
- 中线导管提供了一个中位持续期的选择,经常被推用于HIAT.
研究的目的:
- 在接受HIAT的患者中评估与中线导管相关的并发症.
- 评估由血管接入团队在家庭环境中植入的中线导管的安全性和有效性.
主要方法:
- 一项前性观察性研究,包括77名患者和分析92个中线导管.
- 收集有关阻塞,透,脱落和血栓形成等并发症的数据.
- 两变量分析以确定与并发症相关的因素.
主要成果:
- 在HIAT期间,中线导管的整体并发症率较低.
- 具体的并发症发生率:阻塞 (8.7%),透 (3.3%),脱离 (2.2%),血栓 (1.1%).
- 药物pH和埃尔塔尼姆的使用与增加导管阻塞有关.
结论:
- 中线导管在HIAT患者中显示出并发症的低患病率.
- 抗逆流的无针连接器可以减少阻塞率.
- 建议根据日常活动开发基于导管选择的算法,以优化HIAT血管接入.
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