GRMEP Plastic Surgery Resident, Grand Rapids, MI 49503, USA.
Burns. 2013 Jun;39(4):632-5. doi: 10.1016/j.burns.2012.08.017. Epub 2012 Sep 23.
Peripherally inserted central catheters (PICCs) have been used increasingly in burn patients who often have decreased intravascular volumes and obtaining intravascular access for resuscitative efforts can be difficult. A potentially serious complication is bloodstream infection. The purpose of our study is to examine the impact of antibiotic impregnated PICC lines on the bacteremia rate in a regional burn center.
Consecutive patients admitted to the burn unit and receiving an antibiotic impregnated PICC line were included in the study. Baseline demographics and bacteremia rate was recorded. A retrospective chart review was then undertaken of the 30 consecutive patients admitted to the burn unit and receiving a PICC line prior to the study period.
Nineteen patients were enrolled over the two-year period. The bacteremia rate for the study group was 0% compared to the 50% bacteremia rate of the retrospective control group (p=<0.001).
Antibiotic impregnated PICC lines decrease the bacteremia rate in our burn population. This has potential benefits for both patient morbidity and mortality as well as potential cost savings for the healthcare system.
在血管内容积减少且为复苏努力获取血管内通路可能较为困难的烧伤患者中，外周置入中心静脉导管（PICC）的应用日益增多。一种潜在的严重并发症是血流感染。我们的研究旨在检验局部烧伤中心中，抗生素浸渍 PICC 导管对菌血症发生率的影响。
纳入接受抗生素浸渍 PICC 导管的连续烧伤患者进行研究。记录基线人口统计学特征和菌血症发生率。随后对研究期间前 30 例连续接受烧伤单元和 PICC 导管的患者进行回顾性图表审查。
在两年期间，共纳入 19 例患者。研究组的菌血症发生率为 0%，而回顾性对照组的菌血症发生率为 50%（p<0.001）。
抗生素浸渍 PICC 导管降低了我们烧伤人群的菌血症发生率。这对患者的发病率和死亡率以及医疗保健系统的潜在成本节约都具有潜在的益处。
