Alurkar S S, Dhabhar B N, Pathak A B, Gonsalves I, Iyer R S, Kelkar R, Pai S K, Deshpande R K, Desai P B, Advani S H
Department of Medical Oncology, Tata Memorial Hospital, Bombay, India.
J Surg Oncol. 1992 Nov;51(3):183-7. doi: 10.1002/jso.2930510312.
Ninety-eight single lumen and two double lumen silicone right atrial Hickman/Broviac catheters inserted in 91 patients with various malignancies over a period of 36 months were prospectively studied. The average duration of use for all Hickman/Broviac catheters was 7,460 days with an average of 74.6 days. A total of 41 episodes of catheter-related infections were documented in all patients (0.5 per 100 access days). Catheter related bacteremia was the most frequent type of infection (31 out of 41, 75%). Majority of the bacteremias could be controlled with routine antimicrobial therapy. Exit site infections were seen in 5 Hickman/Broviac catheters. Two catheters had to be removed because of catheter tunnel infections. Gram negative bacteremic infections were the most common, with Pseudomonas aeruginosa being the major pathogen. Silicone rubber Hickman/Broviac catheters proved to be convenient, reliable, and easily manageable devices in our experience.
在36个月的时间里，对91例患有各种恶性肿瘤的患者插入的98根单腔和2根双腔硅胶右心房希克曼/布罗维阿克导管进行了前瞻性研究。所有希克曼/布罗维阿克导管的平均使用时长为7460天，平均每天使用74.6天。所有患者共记录到41例导管相关感染（每100次置管日0.5例）。导管相关菌血症是最常见的感染类型（41例中的31例，占75%）。大多数菌血症可通过常规抗菌治疗得到控制。5根希克曼/布罗维阿克导管出现了出口部位感染。2根导管因导管隧道感染而不得不拔除。革兰氏阴性菌血症感染最为常见，铜绿假单胞菌是主要病原体。根据我们的经验，硅胶橡胶希克曼/布罗维阿克导管被证明是方便、可靠且易于管理的装置。
