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输注时间对经外周静脉导管给予BFLUID氨基酸输注患者发生血流感染风险的影响。

Effect of infusion time on risk of bloodstream infections in patients administered with BFLUID amino acid infusions via peripheral venous catheters.

作者信息

Takano Atsushi, Nakamaru Yuta, Sako Ken-Ichi, Takano Asuka, Iga Masanori, Machida Mitsuru, Kaku Teppei, Ishimura Atsushi, Nakasuga Hirotaka, Matsuda Yoshikazu, Fujikake Yoshio, Maeda Tomoji

机构信息

Department of Pharmacy, Saitama Red Cross Hospital, Saitama 330-8553, Japan.

Department of Clinical Pharmacy, Nihon Pharmaceutical University, Saitama 362-0806, Japan.

出版信息

Biomed Rep. 2024 Nov 21;22(2):17. doi: 10.3892/br.2024.1895. eCollection 2025 Feb.

DOI:10.3892/br.2024.1895
PMID:39651405
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11621911/
Abstract

Comprehensive electrolyte infusions containing amino acids, including BFLUID, are a source of nosocomial infections caused by . It is recommended that clinicians finish the administration of BFLUID within 6 h; however, this recommendation currently lacks supporting empirical evidence. Accordingly, the present study aimed to investigate the risk of infection associated with BFLUID infusion according to the administration time. In the present single-center retrospective observational cohort study, clinical information was extracted from the medical records of patients aged ≥18 years who received BFLUID infusions via a peripheral line between April 2017 and October 2020 at Saitama Red Cross Hospital (Saitama, Japan). A total of 96 patients were enrolled during the study period, of whom 32 developed infection. No patients with BFLUID infusions administered within 6 h developed infection. Compared with patients who received BFLUID infusions within 8 h, those who received BFLUID infusions after 8 h had a 7-fold higher risk of infection. The present study provided empirical evidence supporting the recommendation that amino acid infusions should be administered to patients within 6 h to minimize the risk of infection.

摘要

包含氨基酸的综合性电解质输注液,包括BFLUID,是由……引起的医院感染的一个来源。建议临床医生在6小时内完成BFLUID的输注;然而,这一建议目前缺乏实证依据。因此,本研究旨在根据输注时间调查与BFLUID输注相关的感染风险。在本单中心回顾性观察队列研究中,从2017年4月至2020年10月期间在日本埼玉红十字医院(埼玉)通过外周静脉接受BFLUID输注的年龄≥18岁患者的病历中提取临床信息。研究期间共纳入96例患者,其中32例发生了……感染。在6小时内输注BFLUID的患者中没有发生……感染。与在8小时内接受BFLUID输注的患者相比,在8小时后接受BFLUID输注的患者感染风险高7倍。本研究提供了实证依据,支持应在6小时内为患者输注氨基酸以将……感染风险降至最低的建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75cb/11621911/fc3e233da62e/br-22-02-01895-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75cb/11621911/5677c0aec943/br-22-02-01895-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75cb/11621911/fc3e233da62e/br-22-02-01895-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75cb/11621911/5677c0aec943/br-22-02-01895-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75cb/11621911/fc3e233da62e/br-22-02-01895-g01.jpg

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本文引用的文献

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Intern Med. 2025 Jan 1;64(1):73-80. doi: 10.2169/internalmedicine.3692-24. Epub 2024 May 16.
2
Peripheral Parenteral Nutrition Solutions and Bed Bath Towels as Risk Factors for Nosocomial Peripheral Venous Catheter-related Bloodstream Infection by .外周肠外营养溶液和床上擦浴毛巾是医院获得性外周静脉导管相关血流感染的危险因素。
Int J Med Sci. 2023 Mar 5;20(5):566-571. doi: 10.7150/ijms.82054. eCollection 2023.
3
Extended drip infusion of peripheral parental nutrition containing amino acids might be associated with Bacillus cereus bloodstream infection.
外周肠外营养延长滴注含氨基酸液可能与蜡样芽胞杆菌血流感染有关。
Am J Infect Control. 2019 Sep;47(9):1154-1156. doi: 10.1016/j.ajic.2019.02.020. Epub 2019 Apr 30.
4
Guide to presenting clinical prediction models for use in clinical settings.临床环境中使用的临床预测模型呈现指南。
BMJ. 2019 Apr 17;365:l737. doi: 10.1136/bmj.l737.
5
Risk factors of catheter-related bloodstream infection caused by Bacillus cereus: Case-control study in 8 teaching hospitals in Japan.蜡样芽孢杆菌致导管相关血流感染的危险因素:日本 8 所教学医院的病例对照研究。
Am J Infect Control. 2017 Nov 1;45(11):1281-1283. doi: 10.1016/j.ajic.2017.04.281. Epub 2017 Jun 5.
6
Use of Peripheral Parenteral Nutrition Solutions as a Risk Factor for Bacillus cereus Peripheral Venous Catheter-Associated Bloodstream Infection at a Japanese Tertiary Care Hospital: a Case-Control Study.在日本一家三级护理医院中,使用外周肠外营养溶液作为蜡样芽孢杆菌外周静脉导管相关血流感染的危险因素:一项病例对照研究。
Jpn J Infect Dis. 2016 Nov 22;69(6):531-533. doi: 10.7883/yoken.JJID.2015.489. Epub 2016 Feb 19.
7
Effects of lipid emulsion and multivitamins on the growth of microorganisms in peripheral parenteral nutrition solutions.脂肪乳剂和多种维生素对周围肠外营养溶液中微生物生长的影响。
Int J Med Sci. 2013 Jun 26;10(9):1079-84. doi: 10.7150/ijms.6407. Print 2013.
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Bacillus cereus, a volatile human pathogen.蜡样芽胞杆菌,一种易变的人类病原体。
Clin Microbiol Rev. 2010 Apr;23(2):382-98. doi: 10.1128/CMR.00073-09.
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