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呼吸道感染患儿经外周静脉穿刺中心静脉导管与外周静脉同步采集抗生素血清浓度的比较

A Comparison of Antibiotic Serum Concentrations Drawn Simultaneously from Peripherally Inserted Central Catheters and Peripheral Veins in Children with Respiratory Infection.

作者信息

Green Mary Ellen, Sullivan Keri J, Wells Sarah, Board Rhonda, Feldman Henry A, McCabe Margaret

机构信息

Boston Children's Hospital, Boston, MA.

Boston Children's Hospital, Boston, MA.

出版信息

J Pediatr Nurs. 2015 Nov-Dec;30(6):868-76. doi: 10.1016/j.pedn.2015.07.011. Epub 2015 Sep 15.

Abstract

The purpose of the study was to evaluate serum concentration of antibiotics drawn from a peripherally inserted central catheter (PICC) compared with a peripheral venipuncture. This prospective comparative study included patients with ages 1month to 21years admitted with a respiratory infection requiring IV vancomycin or IV tobramycin via a newly placed PICC. The difference between the antibiotic levels from the venipuncture and PICC samples was statistically significant for both the peak and trough levels. However, the difference in values was not enough to impact antibiotic dosing and therefore was not clinically significant.

摘要

本研究的目的是评估经外周静脉穿刺中心静脉置管(PICC)采集的抗生素血清浓度,并与外周静脉穿刺进行比较。这项前瞻性对照研究纳入了年龄在1个月至21岁之间、因呼吸道感染入院且需要通过新置入的PICC接受静脉注射万古霉素或静脉注射妥布霉素的患者。静脉穿刺和PICC样本的抗生素水平在峰值和谷值时的差异均具有统计学意义。然而,数值差异不足以影响抗生素剂量,因此不具有临床意义。

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