Department of Intensive Care, Hospital Universitario de Canarias, Ofra s/n, La Laguna, Santa Cruz de Tenerife, Spain.
Am J Infect Control. 2010 Nov;38(9):e40-2. doi: 10.1016/j.ajic.2010.04.217. Epub 2010 Sep 17.
Recent guidelines do not establish a recommendation about the arterial catheter site to minimize the arterial catheter-related infection risk. In this prospective and observational study, we found a higher arterial catheter-related infection in 1085 arterial femoral sites than in 141 arterial brachial sites (5.08 vs 0 per 1000 catheter-days, respectively; odds ratio, 6.18; 95% confidence interval: 1.11-infinite; P = .02). Thus, arterial brachial access should be used in preference to femoral access.
近期的指南并未就最小化动脉导管相关感染风险提出关于动脉置管部位的推荐建议。在这项前瞻性、观察性研究中,我们发现 1085 例股动脉部位的动脉导管相关感染率高于 141 例肱动脉部位(分别为每 1000 导管日 5.08 例和 0 例,比值比为 6.18;95%置信区间:1.11-无限大;P =.02)。因此,应优先选择肱动脉入路,而非股动脉入路。