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頁籤選單縮合
題名 | 暫時性血液透析導管血流感染相關因素探討=Exploration of Temporary Hemodialysis Catheter-Related Bloodstream Infections and Related Factors |
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作者 | 裘苕莙; 陳育弘; 陳佩盈; 蘇逸玲; Chiu, Tiao-chun; Chen, Yuh-hong; Chen, Pei-ying; Su, Yiet-ling; |
期刊 | 榮總護理 |
出版日期 | 20100600 |
卷期 | 27:2 2010.06[民99.06] |
頁次 | 頁127-135 |
分類號 | 415.816 |
語文 | chi |
關鍵詞 | 暫時性血液透析導管; 導管相關血流感染; Temporary hemodialysis catheter; Catheter-related bloodstream infections; |
中文摘要 | 放置暫時性血液透析導管最常見的合併症是導管留置引發的血流感染,為進一步瞭解血流感染的相關因素,而能達到有效控制遂引發探究動機。本研究為橫斷式調查法,收案時間自2007年1月至9月,藉由實地置管觀察、相關資料檢閱,共收案101人,收案期間導管血流感染率達9.35‰。血流感染收案的14位病人中,置管後異狀發生率為71.4%,平均異狀出現天數4.79±5.3天,置管後發燒發生率為85.7%,平均發燒出現天數6±5.3天。研究結果顯示血流感染者之置管次數愈多、拔管前的WBC值較高及發燒出現機率愈高,確實對導管血流感染收案間具有顯著差異(p<.05),且血流感染者平均之住院天數較未感染者長7.8天,因此,若能減少置管次數並監控各項相關炎症之反應及生理值,將有助於控制感染的發生,進而減少醫療成本之支出。 |
英文摘要 | The most common complication of inserting a temporary hemodialysis catheter was catheter-related bloodstreaminfections (CRB SIs). The purpose of this study was to control the CRBSIs effectively. This study incorporated with a cross-sectional design involving field observation and retrospective chart review for 9 months, collecting 101 cases. The CRBSIs rate was 9.35%. From 14 CRBSI cases collected, we found that the incidence of an abnormal insertion site was 71.4% and the average number of days for abnormal insertion site was 4.79±5.3 days. The incidence of fever was 85.7% and the average occurrence days for fever were 6±5.3 days. The result showed that an increased number of catheter insertions, corresponded to higher WBC data before catheter removal and higher incidence of a fever episode, making a significant statistical difference between the CRBSIs and non-CRBSIs group (p<.05). The average length of stay for CRBSIs was 7.8 days longer than non-CRBSIs group. Therefore, controlling the number of catheter insertions, monitoring the inflammatory signs, and monitoring the lab data may be helpful to control the incidence of infection and decrease medical costs. |
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