气管切开术对中心静脉导管相关菌血症发生率的影响。
Influence of tracheostomy on the incidence of central venous catheter-related bacteremia.
作者信息
Lorente L, Jiménez A, Martín M M, Castedo J, Galván R, García C, Brouard M T, Mora M L
机构信息
Intensive Care Unit, Hospital Universitario de Canarias, Ofra s/n. La Cuesta, La Laguna, 38320 Santa Cruz de Tenerife, Spain.
出版信息
Eur J Clin Microbiol Infect Dis. 2009 Sep;28(9):1141-5. doi: 10.1007/s10096-009-0742-4. Epub 2009 Apr 16.
Although there are many studies on catheter-related infection, there are scarce data about the influence of tracheostomy in the incidence of central venous catheter-related bacteremia (CRB). In this cohort study, we found a higher incidence of CRB in patients with tracheostomy than without (11.25 vs. 1.43 per 1,000 catheter-days; odds ratio [OR] = 7.99; 95% confidence interval [CI] = 4.38-infinite; P < 0.001). Besides, we found a higher incidence of CRB in patients with tracheostomy using the jugular access compared to subclavian access (21.64 vs. 5.11 per 1,000 catheter-days; OR = 4.23; 95% CI = 1.44-infinite; P = 0.0097).
尽管有许多关于导管相关感染的研究，但关于气管切开术对中心静脉导管相关菌血症（CRB）发生率影响的数据却很少。在这项队列研究中，我们发现气管切开术患者的CRB发生率高于未行气管切开术的患者（每1000导管日分别为11.25和1.43；优势比[OR]=7.99；95%置信区间[CI]=4.38-无穷大；P<0.001）。此外，我们发现与经锁骨下途径相比，经颈静脉途径行气管切开术的患者CRB发生率更高（每1000导管日分别为21.64和5.11；OR=4.23；95%CI=1.44-无穷大；P=0.0097）。
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