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用于血液透析的中心静脉导管:感染发生率及危险因素

Central venous catheter for hemodialysis: incidence of infection and risk factors.

作者信息

Schwanke Alessandra Amaral, Danski Mitzy Tannia Reichembach, Pontes Letícia, Kusma Solena Ziemer, Lind Jolline

机构信息

Universidade Federal do Paraná, Curitiba, Paraná, Brazil.

出版信息

Rev Bras Enferm. 2018 May;71(3):1115-1121. doi: 10.1590/0034-7167-2017-0047.

DOI:10.1590/0034-7167-2017-0047
PMID:29924154
Abstract

OBJECTIVE

To measure the incidence of infection in short-term central venous catheter for hemodialysis and to identify the associated risk factors.

METHOD

Prospective cohort study conducted in a teaching hospital from September 2015 to April 2016. Patients requiring central venous catheter for hemodialysis were included and data was collected through direct and systematic observation of the catheter insertion procedure by the researchers.

RESULTS

The final sample consisted of 69 patients, who used 88 catheters. The incidence of infection was 9.1%, and the risk factors were length of hospital stay and insertion of the catheter in the left femoral vein.

CONCLUSION

The observation of the actions performed during the insertion of the catheter made it possible to identify the risk factors associated with infection, and the research protocol may have contributed to the reduction of infection rates.

摘要

目的

测量血液透析短期中心静脉导管感染的发生率,并确定相关危险因素。

方法

2015年9月至2016年4月在一家教学医院进行前瞻性队列研究。纳入需要中心静脉导管进行血液透析的患者,并通过研究人员对导管插入过程的直接和系统观察收集数据。

结果

最终样本包括69名患者,共使用了88根导管。感染发生率为9.1%,危险因素为住院时间和导管插入左股静脉。

结论

对导管插入过程中所采取的操作进行观察,使得识别与感染相关的危险因素成为可能,并且研究方案可能有助于降低感染率。

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