Stotter A T, Ward H, Waterfield A H, Hilton J, Sim A J
JPEN J Parenter Enteral Nutr. 1987 Mar-Apr;11(2):159-62. doi: 10.1177/0148607187011002159.
Investigation of an outbreak of infection related to intravenous feeding catheters, predominantly with Staphylococcus epidermidis, suggested that the probable origin was the connections in the delivery system. Equipment and policy changes were then instituted: a catheter with integral hub was used, the connections were reduced from two to one, and improved antisepsis at the connection was devised. These actions resulted in a sustained, significant reduction in the catheter sepsis rate, supporting the hypothesis that junctional care is vital to the avoidance of catheter infection.
一项针对主要由表皮葡萄球菌引起的与静脉输液导管相关的感染暴发的调查表明，可能的源头是输送系统中的连接处。随后采取了设备和政策方面的改变：使用了带有一体式针座的导管，连接处从两个减少到一个，并设计了改进的连接处消毒方法。这些措施使导管败血症发生率持续大幅降低，支持了接头护理对于避免导管感染至关重要这一假设。
