Jansen D
Aust Nurs J. 1994 Feb;1(7):22-5.
The purpose of this study was to compare the central venous catheter (CVC) tip infection rate among patients in general wards for the 12 months prior to, and during, the appointment of a TPN clinical nurse at the 500 bed Gold Coast Hospital, Southport, Queensland. These data could then be utilized to assess the benefits of a TPN clinical nurse dedicated to the care of CVCs on the central line infection rate. A comparative retrospective study of 542 CVC tips cultured and analysis of positive blood cultures growing the same organisms was carried out over a two year period. The incidence of CVC tip infections over the study period showed a significant reduction from 37% in the year prior to the appointment of the TPN clinical nurse, to 16% during the first year of appointment. The incidence of bacteremia from all positive CVC tips cultured also decreased from 7.1% to 3.3% respectively.
本研究的目的是比较在昆士兰州南港500张床位的黄金海岸医院任命全胃肠外营养（TPN）临床护士之前12个月以及任命期间，普通病房患者的中心静脉导管（CVC）尖端感染率。这些数据随后可用于评估专门负责CVC护理的TPN临床护士对中心静脉导管感染率的益处。在两年期间，对542个培养的CVC尖端进行了比较回顾性研究，并对培养出相同微生物的阳性血培养进行了分析。研究期间，CVC尖端感染的发生率从任命TPN临床护士前一年的37%显著降低到任命后第一年的16%。所有培养的阳性CVC尖端导致的菌血症发生率也分别从7.1%降至3.3%。
