頁籤選單縮合
題 名 | 改變連續性灌食袋使用頻率對院內感染之影響=The Effect of Different Enteral Feeding Bag Frequency on Nosocomial Infection |
---|---|
作 者 | 翁夢璐; 李聰明; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 11:2 2001.04[民90.04] |
頁 次 | 頁82-91 |
分類號 | 419.38 |
關鍵詞 | 連續性灌食袋; 吸入性肺炎; 院內感染; 腸道營養; Enteral feeding bag; Aspiration neumonia; Nosocomial infection; Enteral feeding nutrition; |
語 文 | 中文(Chinese) |
中文摘要 | 對無法經由口攝食之病患而言,連續性灌食系統是提供營養的最佳路徑;但經文獻查證,並無直接探討連續性灌食袋使用天數對病人及院內感染之影響;因而引發筆者探討的動機。本研究係以回溯性方式收集 1997年 7 月至 1998 年 6 月,某醫學中心接受腸胃道營養之連續性鼻胃灌食病人資料,總共有257個個案使用連續性管袋飲食,其中有156人次符合本研究收案定義;並將個案依灌食袋使用置換方式分成二組,分別為二天置換組及七天置換組。所有使用管灌飲食相關院內感染之發生密度為每千人日 9.7 例 (26/2678);二天置換組的連續性管灌飲食袋相關的院內感染發生密度為每千人日 8.5 例,七天置換組為每千人日 10.2 例;經兩組比較分析,於統計學上無顯著差異。在扣除相關危險因子後,以末使用呼吸裝置而引發吸入性肺炎之分析中發現,二組之發生密度雖然沒有差異性,但就感染率而言,二天置換組為 11.76%(2/17),七天置換組為55.56%(10/18),經卡方檢定有顯著統計差異。究其感染率與發生密度之差異應當與七天置換組使用灌食袋天數較長有關。本研究結果顯示,連續性灌食袋使用置換時間延長至七天時,對於長期使用灌食袋之病人會增加吸入性肺炎的危險性。唯仍有待收集更嚴謹的相關因素探討,以提供需使用連續性灌食袋病人營養的最佳路徑。 |
英文摘要 | The National Health Insurance Bureau has changed the payment for the nasogastric enteral feeding bag from one every two days to one every seven days in January, 1998. This study was undertaken to compare the nosocomial infection rate between the recipients of the continuous nasogastric enteral tube feeding who had the bag changed every 2 days during the fist half of the study period and those who had the bag changed every 7 days during the latter half. We collected the cases that had feeding between July, 1997 till June, 1998. Of the total o1' 51,867 admissions that year, 257 (0.5%) were given the continuous enteral tube feeding. Excluding those who had the feeding less than 2 or 7 days, 156 cases, or total of 2,678 person-days, fit the criteria to be included in the study. There were 66 cases in the 2-day group with a total of 82i person-days, and 90 cases with a total of 1,857 person- days, in the 7-day group. There were no differences in the age, sex, and frequencies of risk [actors for blood stream, respiratory tract, and the gastron-testinal tract infections between the two groups. The overall infection density was 9.7? (26/2,678). The density for the 2-day group was 8.5? (7/821), and for the 7-day group, 10.2? (19/1,857). There was no statistical difference between the two groups. Further study is needed to investigate the influence of the duration in between the exchange of the enteral feeding bag on the nosocornial infection rate. |
本系統中英文摘要資訊取自各篇刊載內容。