Lisova Katerina, Paulinova Vendula, Zemanova Katerina, Hromadkova Jaroslava
Head Nurse, medical intensive care unit, Faculty Hospital Prague Motol, Prague, Czech Republic.
Br J Nurs. 2015;24(2):S4, S6, S10. doi: 10.12968/bjon.2015.24.Sup2.S4.
The first specialist nursing team placing peripherally inserted central catheters (PICCs) in the Czech Republic was established in September 2012. During 2013 the team placed 167 PICCs and 162 midline catheters. In another 6 patients the insertion was not successful. PICCs were inserted mainly for oncology patients; while midline catheters were inserted for patients admitted to general wards. Average duration of catheter insertion was 91 days (range 7-285 days) for PICCs and 14 days (range 2-40 days) for midline catheters. During follow up of PICCs, catheter infection rate was 0.3/1000 days, vein thrombosis rate 0.4/1000 days, catheter occlusion 0.4/1000 days, and catheter displacement 0.33/1000 days. For midline catheters infection rate was 1.4/1000 days, vein thrombosis 5.2/1000 days, catheter occlusion 2.6/1000 days, and catheter displacement 2.2/1000 days. The authors hope that these results will motivate other hospitals in the Czech republic to establish PICC teams, as in other European countries.
2012年9月，捷克共和国首个专门负责放置外周静脉穿刺中心静脉导管（PICC）的护理团队成立。2013年，该团队放置了167根PICC和162根中线导管。另有6例患者的导管插入未成功。PICC主要为肿瘤患者插入；而中线导管则为普通病房收治的患者插入。PICC的平均置管时间为91天（范围7 - 285天），中线导管为14天（范围2 - 40天）。在PICC的随访期间，导管感染率为0.3/1000天，静脉血栓形成率为0.4/1000天，导管堵塞率为0.4/1000天，导管移位率为0.33/1000天。中线导管的感染率为1.4/1000天，静脉血栓形成率为5.2/1000天，导管堵塞率为2.6/1000天，导管移位率为2.2/1000天。作者希望这些结果能促使捷克共和国的其他医院像其他欧洲国家一样成立PICC团队。
