获得性免疫缺陷综合征患者中心静脉导管相关感染
Infections caused by central venous catheters in patients with acquired immunodeficiency syndrome.
作者信息
Prichard J G, Nelson M J, Burns L, Kaplowitz H J, Caillouet B L, Sanchez M A
机构信息
Institute for Immunological Disorders, University of Texas Health Science Center, Houston.
出版信息
South Med J. 1988 Dec;81(12):1496-8. doi: 10.1097/00007611-198812000-00008.
We assessed infectious complications of long-term percutaneous central venous catheterization in patients with acquired immunodeficiency syndrome (AIDS). We evaluated 98 consecutive patients, accounting for 6,298 catheter days. Catheter-associated bacteremia occurred in 3% of patients, a rate of 0.128%/patient-catheter day. Only bacterial pathogens--Pseudomonas, Serratia, and Staphylococcus species--were isolated. Five patients had infection at the catheter exit site. The length of time catheters were indwelling was not significantly different in patients with and those without infections. Percutaneous, multiple-use central venous catheters are safe and well accepted by patients with AIDS.
我们评估了获得性免疫缺陷综合征（艾滋病）患者长期经皮中心静脉置管的感染并发症。我们对98例连续患者进行了评估，共计6298个导管日。3%的患者发生了导管相关菌血症，发生率为0.128%/患者-导管日。仅分离出细菌病原体——假单胞菌属、沙雷菌属和葡萄球菌属。5例患者在导管出口部位发生感染。有感染和无感染患者的导管留置时间无显著差异。经皮、多用途中心静脉导管对艾滋病患者是安全的且患者易于接受。
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