Infectious complications during peripheral intravenous therapy with Teflon catheters: a prospective study.
Infectious complications during peripheral intravenous therapy with Teflon catheters: a prospective study.
复制标题
使用聚四氟乙烯导管进行外周静脉治疗期间的感染并发症：一项前瞻性研究。
DOI：
--
复制
发表时间：
1987
期刊：
影响因子：
--
通讯作者：
Tad M. Johnson
中科院分区：
文献类型：
--
作者：
J. Garland;D. Nelson;Teik;H. Hennes;Tad M. Johnson
在286例插管插入的前瞻性研究中，确定了使用Teflon导管进行外周静脉治疗期间发生的感染并发症发生率和相关风险因素。未发生化脓性静脉炎、插管相关脓毒症或疑似脓毒症。半定量插管培养显示定植率为10.4%（12/115）。凝固酶阴性非粘附性葡萄球菌是最常见的定植微生物，发生在10/12个阳性导管中。α链球菌和粘附性凝固酶阴性葡萄球菌定植在其余导管上。定植与静脉炎发生率、外渗或插管时间无关。没有患者或导管相关因素增加定植的风险。在普通儿科病房的儿童中，导管定植和随后败血症的风险不应作为在72小时内常规取出无并发症外周Teflon导管的理由。
Infectious complication rates and associated risk factors occurring during peripheral intravenous therapy with Teflon catheters were determined during a prospective study of 286 cannula insertions. Suppurative phlebitis, cannula-related sepsis or suspected sepsis did not occur. Semiquantitative cannula cultures revealed a colonization rate of 10.4% (12 of 115). Coagulase-negative nonadherent Staphylococcus was the most common colonizing organism occurring in 10 of 12 positive catheters. Alpha Streptococcus and adherent coagulase-negative Staphylococcus colonized the remaining catheters. Colonization was not related to the rate of phlebitis, extravasation or cannulation time. No patient- or catheter-related factors increased the risk of colonization. In children in a general pediatric ward the risk of catheter colonization and subsequent sepsis should not be used as reasons for routinely removing complication-free peripheral Teflon catheters at 72 hours.