【锁骨下静脉导管相关感染(作者简介)】。

Anesthesie, analgesie, reanimation Pub Date : 1981-01-01
K Kannisto, R Mäki, P Grönroos
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引用次数: 0

摘要

本研究的目的是探讨预防锁骨下静脉导管相关感染的可能方法。采用半定量培养法对导管尖端和皮肤穿刺部位进行培养。微生物的生长分为经典致病性、机会致病性和非致病性三组。我们没有发现64%的导管有任何增长。穿刺部位生长的占15%,导管尖端生长的占6.5%,两者生长的占14%。本研究发现4例败血症(1.5%)。在这些病例中,粪链球菌是最常见的微生物。半定量培养方法的目的是区分真正的导管相关感染和污染。54例导管尖部生长,32例导管尖部感染。根据这项调查,预防导管相关性感染的最重要因素似乎是导管放置和维护期间的严格无菌。小剂量的肝素可能会减少导管尖端周围纤维蛋白套筒的形成,从而防止感染。患者留置导管的时间也很重要,导管相关性败血症患者的持续时间是导管尖端未生长患者的两倍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The subclavian vein catheter related infections (author's transl)].

The aim of the present investigation was to study the possible means to prevent the subclavian vein catheter related infections. The tip of the catheter and the part situating at the skin puncture were cultured using the semiquantitative culture method. The growth of the micro-organisms was divided into three groups: classical pathogenic, opportunistic and non pathogenic. We did not find any growth in 64 p. cent of the catheters. The puncture site gave growth in 15 p. cent, the catheter tip in 6,5 p. cent and both of them in 14 p. cent In this study four cases (1,5 p. cent) of septicemias were found. In these cases Streptococcus fecalis was the most common microorganism. The aim of the semiquantitative culture method was to differentiate a real catheter related infection and contamination. The real infection was found only in 32 catheter tips though growth was seen in 54 catheter tips. According to this investigation it seems that the most important factor in preventing catheter related infections was strict sterility during the catheter placement as well as during the maintenance. A small dose of heparin probably reduces the formation of fibrin sleeve around the catheter tip and thus prevents infections. The time the patient is catheterized is also of importance, patients with catheter related septicemia had twice as long duration than cases without growth of catheter tip.

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