Curran E T, Coia J E, Gilmour H, McNamee S, Hood J
Glasgow Royal Infirmary, Glasgow, UK.
J Hosp Infect. 2000 Nov;46(3):194-202. doi: 10.1053/jhin.2000.0831.
A surveillance project was undertaken on 37 surgical wards by infection control nurses with the aim of reducing phlebitis/infections associated with peripheral vascular catheters, and to identify risk factors. Data on 2934 catheters in situ longer than 24h was collected in two separate surveillance periods and results were fed back after each surveillance period. Four significant risk factors were identified; what the catheters were used for, the duration the catheters were in situ, the surveillance period (the first surveillance period had a higher phlebitis rate than the second) and whether an infusion pump was used. Logistic regression analysis showed that each of these had a significant effect after adjusting for the effects of the other three factors.
感染控制护士在37个外科病房开展了一项监测项目,目的是减少与外周血管导管相关的静脉炎/感染,并识别风险因素。在两个独立的监测期收集了2934根留置时间超过24小时的导管的数据,每个监测期后反馈结果。识别出四个显著的风险因素:导管的用途、导管的留置时间、监测期(第一个监测期的静脉炎发生率高于第二个监测期)以及是否使用输液泵。逻辑回归分析表明,在对其他三个因素的影响进行调整后,这些因素中的每一个都有显著影响。