Tomford J W, Hershey C O, McLaren C E, Porter D K, Cohen D I
Arch Intern Med. 1984 Jun;144(6):1191-4.
A prospective controlled trial was conducted on four similar inpatient medical wards to test the hypothesis that a trained intravenous therapy (IVT) team would substantially reduce the incidence of peripheral intravenous (IV) catheter-related complications. We followed 863 IV catheters. The overall incidence of phlebitis in the ward staff-maintained IV catheters was 32% as compared with 15% for those maintained by the IVT team. The incidence of two more serious complications (cellulitis and suppurative phlebitis) was reduced tenfold from 2.1% to 0.2%. We conclude that an IVT team can substantially reduce the iatrogenic complications related to IV catheters.
在四个相似的内科住院病房进行了一项前瞻性对照试验,以检验以下假设:一个经过培训的静脉治疗(IVT)团队能大幅降低外周静脉(IV)导管相关并发症的发生率。我们对863根静脉导管进行了跟踪。病房工作人员维护的静脉导管静脉炎总发生率为32%,而IVT团队维护的静脉导管静脉炎总发生率为15%。另外两种更严重并发症(蜂窝织炎和化脓性静脉炎)的发生率从2.1%降至0.2%,降低了十倍。我们得出结论,IVT团队可大幅降低与静脉导管相关的医源性并发症。