在COVID-19大流行期间,在完全植入式导管中增加冲洗间隔和功能故障和感染并发症之间的相关性
Alexandre de Oliveira Esteves1, Vitor Lauar Pimenta de Figueiredo1, Glauco Fernandes Saes1
1Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Einstein (Sao Paulo, Brazil)
|December 11, 2024
概括
在COVID-19大流行期间,长期的导管冲洗间隔并没有显著影响功能故障或殖民率. 长时间没有冲洗完全植入式导管,对患者的结果没有显著差异.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 医疗器械 医疗器械
背景情况:
- 随着COVID-19大流行,医院诊断减少,影响了诸如导管冲洗等常规医疗程序.
- 长期,完全可植入的导管需要定期维护,包括冲洗,以防止并发症.
- 了解改变冲洗时间表对导管功能和殖民化的影响,对于患者的护理至关重要.
研究的目的:
- 为了评估在COVID-19大流行期间没有冲洗的长期导管中的故障和殖民率的发生率.
- 评估没有冲洗和导管相关并发症的延长间隔之间的相关性.
- 为了确定导管冲洗患者运输的平均成本.
主要方法:
- 对66名长期导管被移除的患者的回顾性分析 (2022年) 流行后稳定.
- 根据最后一次冲洗间隔,导管被分为两组:<90天和>90天.
- 评估包括测试导管流/反流和培养导管尖端;患者的旅行费用也被分析.
主要成果:
- 在<90天和>90天冲洗组之间没有观察到感染或功能障碍率的统计学上显著差异.
- 导管功能和殖民率与最后一次冲洗后的持续时间没有显著的相关性.
- 冲患者的平均旅行费用约为7.50美元.
结论:
- 在长期导管冲洗之间延长的间隔 (>90天) 并没有导致COVID-19大流行期间功能障碍或殖民的统计学上显著增加.
- 研究结果表明,在不损害导管完整性或增加感染风险的情况下,可以灵活地安排冲洗时间表.
- 与例行冲洗相关的患者旅行费用是医疗保健经济学的考虑因素.
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