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连续硬膜外导管污染的可能性。

The potential for contamination of continuous epidural catheters.

作者信息

Hunt J R, Rigor B M, Collins J R

出版信息

Anesth Analg. 1977 Mar-Apr;56(2):222-5.

PMID:557918
Abstract

In cultures from 102 patients undergoing continuous epidural catheterization, 22 catheters were found to be contaminated. No statistically significant correlation could be established between the contaminated catheters and the parameters monitored. A worrisome trend of contamination seemed to be developing in association with hospital-prepared epidural trays as well as the procedure of vaginal delivery. Hypotheses for these observations together with current prophylactic measures are discussed. One significant clinical infection occurred; a brief report of this patient is included.

摘要

在对102例接受连续硬膜外导管插入术患者的培养物中,发现22根导管被污染。在被污染的导管与所监测的参数之间未能建立起统计学上的显著相关性。与医院准备的硬膜外托盘以及阴道分娩操作相关,似乎正在出现一种令人担忧的污染趋势。讨论了对这些观察结果的假设以及当前的预防措施。发生了1例严重的临床感染;纳入了该患者的简要报告。

相似文献

1
The potential for contamination of continuous epidural catheters.连续硬膜外导管污染的可能性。
Anesth Analg. 1977 Mar-Apr;56(2):222-5.
2
[Infections after insertion of epidural catheters].[硬膜外导管插入后的感染]
Ugeskr Laeger. 1993 Jul 26;155(30):2350-2.
3
[Infections in connection with epidural catheterization].[与硬膜外导管插入术相关的感染]
Ugeskr Laeger. 1996 Jul 29;158(31):4403-5.
4
Epidural catheter colonization is not associated with infection.硬膜外导管定植与感染无关。
Surg Infect (Larchmt). 2002 Winter;3(4):359-65. doi: 10.1089/109629602762539571.
5
[Severe infections after epidural catheterization].[硬膜外导管插入术后的严重感染]
Ugeskr Laeger. 1998 May 25;160(22):3202-6.
6
[Intravenous catheters (venflons) in children as a possible cause of hospital infections].[儿童静脉导管(留置针)作为医院感染的可能原因]
Przegl Epidemiol. 1989;43(2):213-7.
7
[Staphylococcus aureus bacteremia in adults related to the use of intravascular catheters and devices].
Rev Clin Esp. 1987 Feb;180(3):147-50.
8
[Subcutaneous abscess following long time continuous epidural anaesthesia (author's transl)].长时间连续硬膜外麻醉后发生的皮下脓肿(作者译)
Anaesthesist. 1981 Apr;30(4):198-9.
9
[Culture of the irrigating fluid of the epidural space obtained during chronic epidural catheterization].
Masui. 1993 Sep;42(9):1313-6.
10
[Epidural catheters and infection].[硬膜外导管与感染]
Ugeskr Laeger. 1982 Sep 6;144(36):2654.

引用本文的文献

1
[Spinal epidural abscess after long-term epidural catheterization].[长期硬膜外导管插入术后的脊髓硬膜外脓肿]
Schmerz. 2007 Feb;21(1):68-72. doi: 10.1007/s00482-006-0489-0.
2
Risk factors for bacterial catheter colonization in regional anaesthesia.区域麻醉中细菌导管定植的危险因素。
BMC Anesthesiol. 2005 Mar 17;5(1):1. doi: 10.1186/1471-2253-5-1.