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頁籤選單縮合
題名 | Risk Factors for Central Venous Catheter-related Infections in General Surgery=一般外科病人的中央靜脈導管相關感染之危險因子 |
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作者 | 陳煥昇; 王復德; 林滿; 林宜君; 黃鈴茹; 劉正義; | 書刊名 | 微免與感染雜誌 |
卷期 | 39:3 民95.06 |
頁次 | 頁231-236 |
分類號 | 419.38 |
關鍵詞 | 中央靜脈導管; 感染控制; Bacteremia; Central venous catheterization; Infection control; Risk factors; Surgery; |
語文 | 英文(English) |
英文摘要 | Background and Purpose: Central venous catheter (CVC) infection is a common problem during hospitalization and nosocomial bloodstream infection in these patients is associated with increased morbidity, mortality, and health care cost. This prospective study examined the risk factors of CVC-related infections. Methods: During a 6-month period, a total of 281 patients who underwent central venous catheterization after general surgery were enrolled. Results: The mean duration from CVC insertion to the development of infection was 7.12 days. The rate of bloodstream infection without isolation of the same organism from the catheter was 1.4% (4/281). The rate of catheter-related bloodstream infection was 6.0% (17/281). The rate of catheter bacteremia, defined as positive culture from a catheter blood sample in a patient without signs of infection, was 8.5% (24/281). The incidence of catheter-related bloodstream infection was 7.5/1000 catheter-days. Risk factors for catheter-related infection on univariate analysis included place of insertion (operating room or surgical ward), total parenteral nutrition (TPN), more than 3 tubings, and duration of catheterization. TPN was a significant risk factor in the logistic regression analysis. Conclusions: Established infection control guidelines should be rigorously observed with regard to catheter use and various risk factors controlled to prevent the occurrence of CVC-related infection, especially in patients receiving TPN. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。