肿瘤PICC化疗患者无针输液接头留置时间的临床研究
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1.蚌埠医学院护理学院, 安徽 蚌埠 233030;2.蚌埠医学院第一附属医院检验医学科, 安徽 蚌埠 233070

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张静  E-mail:mini0217@126.com

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安徽省教育厅自然科学重点项目(KJ2017A214);蚌埠医学院研究生科研创新计划(Byycx1821)


Clinical study on the indwelling time of needle-free infusion connectors of peripherally inserted central venous catheter in tumor patients with chemotherapy
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Affiliation:

1.School of Nursing, Bengbu Medical College, Bengbu 233030, China;2.Department of Laboratory Medicine, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233070, China

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    摘要:

    目的 探讨经外周静脉置入中心静脉导管(PICC)无针输液接头留置时间。 方法 选取2019年4—10月在某三甲医院进行PICC维护的肿瘤化学治疗患者,根据使用PICC无针输液接头的种类将患者分为A、B两组,A组使用不透明金属弹簧机械阀无针输液接头(A输液接头),B组使用透明硅胶机械阀无针输液接头(B输液接头),收集患者更换的无针输液接头进行细菌定性及定量培养,比较两组患者PICC留置4~、8~、15~、>21 d时输液接头培养阳性率。 结果 共纳入174例患者,11例患者PICC无针输液接头定量细菌培养阳性,阳性率为6.32%,其中A组阳性率为8.70%(8/92),B组阳性率为3.66%(3/82)。不同留置时间无针输液接头定量培养阳性率比较,A组差异有统计学意义(P<0.05),B组差异无统计学意义(P>0.05);不同留置时间输液接头定性培养阳性率比较,A、B两组差异均无统计学意义(P>0.05)。相同留置时间A、B两组输液接头定量、定性培养阳性率比较,差异均无统计学意义(均P>0.05)。A组输液接头留置8~14 d、B组留置15~21 d时,其培养阳性率为0。共分离出5种11株细菌,其中最常见的细菌种类蜡样芽孢杆菌(4株)。 结论 A输液接头不同留置时间定量细菌培养存在差异,A、B两种输液接头留置相同时间其细菌培养阳性率未见差异。

    Abstract:

    Objective To explore the indwelling time of needle-free infusion connectors of peripherally inserted central venous catheter (PICC). Methods Tumor patients with chemotherapy who underwent PICC maintenance in a tertiary first-class hospital from April to October 2019 were selected and divided into group A and B according to the types of PICC needle-free infusion connectors. Group A used opaque metal spring mechanical valve needle-free infusion connectors (infusion connector A), group B used transparent silica gel mechanical valve needle-free infusion connectors (infusion connector B), needle-free infusion connectors were collected for qualitative and quantitative bacterial culture, positive culture rates of infusion connectors were compared between two groups when PICC was retained for 4-, 8-, 15-, and >21 days. Results A total of 174 patients were included in the study, quantitative bacterial culture of 11 patients with PICC needle-free infusion connectors was positive, positive rate was 6.32%, positive rates of group A and group B were 8.70% (8/92) and 3.66% (3/82) respectively. There was significant difference in the positive rate of quantitative culture of needle-free infusion connectors with different indwelling time in group A (P < 0.05), but there was no significant difference in group B (P>0.05); positive rates of qualitative culture of needle-free infusion connectors with different indwelling time were not significantly different in both group A and group B (P>0.05). There was no significant difference in the positive rates of both quantitative and qualitative culture of needle-free infusion connectors with the same indwelling time between group A and group B (both P>0.05). Positive rate of culture was 0 for 8-14 indwelling days in group A and for 15-21 indwelling days in group B. 11 strains of 5 species of bacteria were isolated, Bacillus cereus (4 strains) was most common specie. Conclusion Quantitative bacterial culture of infusion connectors in group A with different indwelling time are diffe-rent, there is no difference in bacterial culture positive rate between transfusion connectors A and B with the same indwelling time.

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引用本文

郭怡雪,郭普,李雪儿,等.肿瘤PICC化疗患者无针输液接头留置时间的临床研究[J]. 中国感染控制杂志,2021,(3):211-215. DOI:10.12138/j. issn.1671-9638.20216237.
Yi-xue GUO, Pu GUO, Xue-er LI, et al. Clinical study on the indwelling time of needle-free infusion connectors of peripherally inserted central venous catheter in tumor patients with chemotherapy[J]. Chin J Infect Control, 2021,(3):211-215. DOI:10.12138/j. issn.1671-9638.20216237.

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  • 收稿日期:2020-07-13
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  • 在线发布日期: 2021-07-26
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