外周静脉导管使用透明套和弹性固定带:微生物定植的比较。

IF 1.5 4区 医学 Q3 DERMATOLOGY
Busra Nur Orhan, Sonay Goktas
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引用次数: 0

摘要

目的:比较透明套管与弹性固定带外周静脉导管固定对重症监护患者微生物定植的影响。方法:本实验随机对照研究于2019年1月至2020年5月在伊斯坦布尔一家培训和研究医院的麻醉和复苏部(重症监护病房,ICU)接受治疗的患者进行。采用分组随机化方法(CONSORT)将参与者分为两组:干预组(导管用透明盖固定)和对照组(导管用弹性固定带固定)。72小时后,无菌取出导管,从导管尖端收集培养物。采用辊板技术,菌落生长≥15个菌落形成单位被认为是显著的。使用“患者信息表”和“导管随访与结果表”收集研究数据。结果:共纳入60例患者,每组30例。结果发现,两组间微生物菌落形成的微生物种类、置管面积对微生物菌落的影响差异无统计学意义(p < 0.05)。结论:本研究结果表明,两种固定方法均可在有效护理的情况下用于icu患者的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Use of transparent cover and elastic fixation band in patients with peripheral venous catheter: a comparison of microbiological colonisation.

Objective: The study was carried out to compare the effect of transparent covers and elastic fixation bands used in peripheral venous catheter fixation on microbiological colonisation in patients in intensive care.

Method: This experimental randomised controlled study was conducted with patients treated in the Anesthesia and Reanimation Unit (an intensive care unit, ICU) of a training and research hospital in Istanbul between January 2019 and May 2020. Participants were divided into two equal groups: intervention: (catheters fixed with a transparent cover) and control (catheters fixed with an elastic fixation band) by the block randomisation method (CONSORT). After 72 hours, the catheters were removed aseptically and cultures were collected from the catheter tips. The roll plate technique was used and colony growth of ≥15 colony forming units was considered significant. The data of the study were collected using the 'Patient Information Form' and 'Catheter Follow-up and Result Form'.

Results: A total of 60 patients were included in the study (30 in each group). It was found that the effect of the microbiological colony-forming microorganism species, and the area of catheter insertion on microbiological colonisation, were not statistically significantly different between the two groups (p>0.05).

Conclusion: The findings of this study showed that both fixation methods can be used with effective nursing care in the treatment of patients in ICUs.

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来源期刊
Journal of wound care
Journal of wound care DERMATOLOGY-
CiteScore
2.90
自引率
10.50%
发文量
215
期刊介绍: Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.
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