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使用电解生成的次氯酸钠的医疗机构中出口部位护理对静脉使用抗生素的影响分析:一项初步回顾性研究。

Analysis of exit site care on IV antibiotic use in facilities using electrolytically produced sodium hypochlorite: a pilot retrospective study.

作者信息

Wilson Steve, Young Amy

机构信息

DaVita Clinical Research, Minneapolis, MN, USA.

出版信息

Nephrol Nurs J. 2012 Mar-Apr;39(2):125-9; quiz 130.

Abstract

In a retrospective survey of 226 dialysis facilities, the present study compared the effectiveness of topical disinfection with electrolytically produced sodium hypochlorite (ESH) and povidone iodine in preventing central venous catheter-related infections by tracking intravenous (IV) antibiotic administration. In patients undergoing hemodialysis, 18.1% of patients in ESH facilities and 19.2% of patients in povidone iodine facilities were administered IV antibiotics one or more times during the six-month study (p = 0.09). These findings suggest that ESH and povidone iodine are comparable in effectiveness for exit site care in patients dialyzing with central venous catheters.

摘要

在一项对226个透析机构的回顾性调查中,本研究通过追踪静脉注射抗生素的使用情况,比较了电解生成的次氯酸钠(ESH)和聚维酮碘进行局部消毒在预防中心静脉导管相关感染方面的效果。在接受血液透析的患者中,在为期六个月的研究期间,ESH机构中有18.1%的患者、聚维酮碘机构中有19.2%的患者接受了一次或多次静脉注射抗生素治疗(p = 0.09)。这些发现表明,对于使用中心静脉导管进行透析的患者,ESH和聚维酮碘在出口部位护理的有效性方面具有可比性。

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