儿童端口导尿管感染

IF 0.5 Q4 PEDIATRICS
M. Joodi, M. Sasan
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引用次数: 0

摘要

背景:与外周导管相比,端口导管最重要的并发症是感染的发生率较高。目的:了解谢赫医生儿童医院(SCH)导管感染的发生率及相关因素。方法:这是一项回顾性描述性研究在谢赫儿童医院,马什哈德,伊朗。患儿行PAC手术的资料收集自医院档案,并通过致电家长完成。PAC感染的定义是基于导管感染的临床症状和任何阳性血培养(外周或导管样本)或在没有阳性血培养的情况下拔出导管后感染症状的消退。结果:6年间,70名儿童接受了PAC治疗,除5名外,其余均进行了电话随访。其中40%的儿童年龄在两岁以下,71.4%患有恶性疾病。16例(22.8%)发生导管感染。导管感染的症状为9例(56%)患者(口袋感染)发热和口部蜂窝织炎,6例(37.5%)患者在导管使用过程中发冷和发热(无口部感染),1例(6.2%)患者持续发热。导管感染75%(12例)血培养阳性,主要病原菌为革兰氏阴性杆菌(5例)、凝固酶阴性葡萄球菌(3例)、念珠菌(3例)、B族链球菌(GBS)。导管感染的“药物治疗本身”成功率为68%。22例(31.4%)患者拔除导管,其中一半是由于感染。平均移除时间为15.3个月。结论:该人群导管感染,尤其是尿袋感染的发生率较高,需要对导管置入的各个环节进行改进和护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Infections of Port Access Catheters in Children
Background: The most important complication of port access catheters (PAC) compared to peripheral lines is a higher incidence of infections. Objectives: This study investigated the frequency of catheter infection and related factors in Dr. Sheikh Children Hospital (SCH). Methods: This is a retrospective descriptive study at Sheikh children’s hospital, Mashhad, Iran. The data of children with an operation for PAC surgery were gathered from hospital files and completed by calling the parents. The definition of PAC infection was based on clinical signs of catheter infection and any positive blood culture (peripheral or catheter sample) or the resolution of signs of infection after the extraction of the catheter in the absence of positive blood cultures. Results: During six years, 70 children received PAC, all of whom (except five) were followed by telephone calls. Forty percent of them were younger than two years, and 71.4% had malignant disease. Catheter infection occurred in 16 (22.8%) cases. Signs of catheter infection were fever and cellulitis over the port in nine (56%) cases (pocket infection), chills and fever during catheter usage (without port infection) in six (37.5%) cases, and persistent fever in one patient (6.2%). Blood culture was positive in 75% (12 cases) of catheter infections, and the responsible organisms were Gram-negative bacilli (five cases), Coagulase-negative staphylococci (three cases), Candida (three cases), and group B streptococci (GBS). The success rate for “medical therapy per se” was 68% in catheter infections. The catheter was removed in 22 (31.4%) patients, which was due to infection in half of them. The mean time to removal was 15.3 months. Conclusions: The incidence of catheter infection, especially pocket infection, is high in this population, which necessities revision in all procedures of catheter implantation and care.
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来源期刊
CiteScore
1.80
自引率
14.30%
发文量
22
期刊介绍: Archives Of Pediatric Infectious Disease is a clinical journal which is informative to all practitioners like pediatric infectious disease specialists and internists. This authoritative clinical journal was founded by Professor Abdollah Karimi in 2012. The Journal context is devoted to the particular compilation of the latest worldwide and interdisciplinary approach and findings including original manuscripts, meta-analyses and reviews, health economic papers, debates and consensus statements of clinical relevance to pediatric disease field, especially infectious diseases. In addition, consensus evidential reports not only highlight the new observations, original research and results accompanied by innovative treatments and all the other relevant topics but also include highlighting disease mechanisms or important clinical observations and letters on articles published in the journal.
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