COVID-19 相关中心静脉导管相关性血流感染。
Central line-associated bloodstream infections in patients with COVID-19.
机构信息
Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre, RS, Brazil.
Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
出版信息
Rev Lat Am Enfermagem. 2024 Jul 29;32:e4236. doi: 10.1590/1518-8345.7007.4236. eCollection 2024.
OBJECTIVE
to investigate the association between central line-associated bloodstream infections and clinical and care variables of intensive care unit patients with COVID-19 hospitalized at a reference public health institution.
METHOD
a case-control study.
RESULTS
the study sample consisted of 70 patients diagnosed with central line-associated bloodstream infections (case group) and 70 non-infected patients (control group). Most patients were male, with mean age of 57.93±13.93 years old and provided with a double lumen catheter. Median time of central line-associated bloodstream infections onset was 11 (8-18) days. Longer time on mechanical ventilation ( P =0.014; OR: 1.79; 95% CI: 0.91-3.51) and prone position ( P =0.017; OR: 2.41; 95% CI: 1.22-4.81) were associated with central line-associated bloodstream infections onset.
CONCLUSION
longer time on invasive mechanical ventilation and prone position contributed to central line-associated bloodstream infections onset in COVID-19 patients.
目的
调查与 COVID-19 住院患者的中心静脉相关血流感染相关的临床和护理变量与重症监护病房患者的关系。
方法
病例对照研究。
结果
研究样本包括 70 例确诊为中心静脉相关血流感染的患者（病例组）和 70 例未感染患者（对照组）。大多数患者为男性，平均年龄为 57.93±13.93 岁，提供了双腔导管。中心静脉相关血流感染发病中位时间为 11（8-18）天。机械通气时间较长（ P =0.014；OR：1.79；95%CI：0.91-3.51）和俯卧位（ P =0.017；OR：2.41；95%CI：1.22-4.81）与中心静脉相关血流感染发病有关。
结论
侵入性机械通气和俯卧位时间延长与 COVID-19 患者中心静脉相关血流感染的发病有关。
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