Lee Wei-Ling, Chen Hsiao-Lien, Tsai Tzung-Yi, Lai I-Chen, Chang Wen-Ching, Huang Cheng-Hua, Fang Chi-Tai
Nursing Department, Cathay General Hospital, Hsinchu, Taiwan.
Am J Infect Control. 2009 Oct;37(8):683-6. doi: 10.1016/j.ajic.2009.02.009. Epub 2009 Jun 25.
We conducted a prospective study of 6538 polyurethane peripheral intravenous (IV) catheters in 3165 hospitalized adult patients using semiquantitative culture techniques. We found that extending the scheduled catheter replacement interval from 48 to 72 hours to 72 to 96 hours was not a risk factor for local catheter infection, but that catheter insertion by personnel other than IV therapists and the use of continuous infusion to maintain catheter patency were 2 independent risk factors for infection.
我们采用半定量培养技术,对3165例住院成年患者的6538根聚氨酯外周静脉导管进行了一项前瞻性研究。我们发现,将预定的导管更换间隔时间从48至72小时延长至72至96小时并非局部导管感染的危险因素,但由静脉治疗师以外的人员进行导管插入以及使用持续输注来维持导管通畅是感染的2个独立危险因素。