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造血干细胞移植患者使用中心静脉导管相关感染并发症。

Infectious complications associated with the use of central venous catheters in patients undergoing hematopoietic stem cell transplantation.

机构信息

Graduate Program on Infectious Diseases and Tropical Medicine, School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

出版信息

Am J Infect Control. 2013 Jul;41(7):642-4. doi: 10.1016/j.ajic.2012.10.005. Epub 2013 Feb 1.

Abstract

In this prospective, observational study, we sought to investigate the incidence, risk factors, and outcomes of central venous catheter-associated infection in 56 patients admitted for hematopoietic stem cell transplantation. In multivariate analysis, we found a 7-fold higher risk of central line-associated bloodstream infection with central venous catheter insertion in the internal jugular vein as compared with the subclavian access. Patients with central line-associated bloodstream infection had a higher incidence of acute renal failure.

摘要

在这项前瞻性观察研究中,我们旨在调查 56 例因造血干细胞移植而住院的患者中心静脉导管相关感染的发生率、危险因素和结局。在多变量分析中,与锁骨下通路相比,颈内静脉插入中心静脉导管与中心静脉导管相关血流感染的风险增加 7 倍。与中心静脉导管相关血流感染的患者急性肾衰竭的发生率更高。

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