重度神经性厌食症患者导管相关性血流感染。

IF 1.9 4区医学 Q2 NURSING

Perspectives in Psychiatric Care Pub Date : 2022-10-01 Epub Date: 2022-02-13 DOI:10.1111/ppc.13050

Takashi Hirata, Kazuyuki Yasuda, Yusuke Iwata, Takuji Uemura, Yu Aruga, Risa Shioe, Niina Uchinuma, Toshio Tamaoki, Takefumi Suzuki

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引用次数: 0

摘要

目的:神经性厌食症(AN)可以通过静脉高营养(IVH)治疗，静脉高营养(IVH)可能与导管相关性血流感染(CRBSI)相关。设计与方法:采用回顾性图表分析，比较发生CRBSI的患者与未发生CRBSI的患者。结果:34例患者中，17例经IVH治疗的AN发作被确定，其中5例导致CRBSI。入院时的平均体重指数较低，为12.2。在IVH期间需要身体约束的患者有更高的风险(尽管统计上不显著)。此外，那些进行净化的人在数字上的风险较低。实践意义:在我们的样本中，29.4%的严重危及生命的AN病例中CRBSI合并IVH。物理约束和不清洗是否构成CRBSI的危险因素还有待进一步研究。

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Catheter-related bloodstream infection in patients With severe anorexia nervosa.

Purpose: Anorexia nervosa (AN) may be treated with intravenous hyperalimentation (IVH) that may be associated with catheter-related bloodstream infection (CRBSI).

Design and methods: Retrospective chart review was conducted to compare those who developed CRBSI were compared with those who did not.

Findings: Of 34 patients, 17 episodes of AN treated with IVH were identified, of which five resulted in CRBSI. The average body mass index at admission was low at 12.2. Patients who needed physical restraint during IVH had a higher (albeit statistically nonsignificant) risk. Also, those with purging had numerically lower risk.

Practice implications: CRBSI complicated IVH in 29.4% instances of severe life-threatening AN in our sample. Whether physical restraints and no purging constitute a risk factor of CRBSI needs to be further investigated.

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来源期刊

Perspectives in Psychiatric Care 医学-护理

CiteScore

5.00

自引率

4.30%

发文量

139

审稿时长

>12 weeks

期刊介绍： Perspectives in Psychiatric Care (PPC) is recognized and respected as THE journal for advanced practice psychiatric nurses. The journal provides advanced practice nurses with current research, clinical application, and knowledge about psychiatric nursing, prescriptive treatment, and education. It publishes peer-reviewed papers that reflect clinical practice issues, psychobiological information, and integrative perspectives that are evidence-based. Perspectives in Psychiatric Care includes regular columns on the biology of mental illness and pharmacology, the art of prescribing, integrative perspectives, and private practice issues.