间歇性给药次数对输液用无针接头表面微生物影响的试验研究
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R181.3+2

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常州市第一人民医院科技计划项目护理学科发展提升科技项目(yy2023003)


Experimental study on effect of intermittent administration frequency on microorganisms at the surface of needleless connectors for infusion
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    摘要:

    目的 为静脉输液过程中经无针接头(NC)间歇性给药后、再次连接输液器之前是否需要消毒提供理论依据。方法 在实验室环境模拟临床静脉输液实际情况。以静脉注射为例,在不同间歇性给药次数(1~9次)时采用三磷酸腺苷(ATP)生物荧光检测技术对NC表面及输液结束后的液体进行微生物检测,每种给药次数重复试验15组,共采集270份标本并进行统计学分析,ATP检测值≤25 相对光单位值(RLU)认为检测合格。结果 随着间歇性给药次数增多,NC表面微生物整体逐渐增多,但均≤25 RLU;不同断开次数间NC表面微生物差异有统计学意义(P<0.001),其中,断开给药1、2、3、4次与断开9次相比,NC表面微生物差异均有统计学意义(均P<0.05),其余断开次数之间差异均无统计学意义 (均P>0.05)。不同间歇性给药次数间输液结束后的液体微生物差异无统计学意义(P=0.946)。结论 实验室环境中,随着间歇性给药次数增多,NC表面微生物增多,但未破坏输液过程的安全性。

    Abstract:

    Objective To provide theoretical basis for determining whether disinfection is necessary before reco-nnecting the infusion device after intermittent administration of medicine via needleless connectors (NC) during intravenous infusion. Methods The actual situation of clinical intravenous infusion was simulated in a laboratory environment. Taking intravenous injection as an example, microorganisms on the surface of NC and in the remaining liquid after infusion at different intermittent administration times (1-9 times) were detected by adenosine triphosphate (ATP) bioluminescence detection technique. The experiment was repeated in 15 groups for each administration frequency, and a total of 270 specimens were detected and statistically analyzed. ATP detection value ≤25 relative light unit (RLU) was considered to be qualified. Results With the increase of intermittent administration frequency, the overall microorganisms on NC surface gradually increased, but all were ≤25 RLU. Microorganisms on the surface of NC among different disconnection times were statistically different (P<0.001). Compared with the microorganisms when disconnecting 9 times, numbers of microorganisms on the surface of NC with disconnection of 1, 2, 3, and 4 times were all statistically different, respectively (all P<0.05), while those with other disconnection frequencies did not show statistical differences among each other (all P>0.05). Microorganisms in liquid after infusion among different intermittent administration frequencies were not statistically different (P=0.946). Conclusion In laboratory environment, with the increase of intermittent administration frequency, microorganisms on the surface of NC increase, but the safety of the infusion process is not compromised.

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林源,李黎,黄萍,等.间歇性给药次数对输液用无针接头表面微生物影响的试验研究[J]. 中国感染控制杂志,2024,23(12):1579-1583. DOI:10.12138/j. issn.1671-9638.20245437.
LIN Yuan, LI Li, HUANG Ping, et al. Experimental study on effect of intermittent administration frequency on microorganisms at the surface of needleless connectors for infusion[J]. Chin J Infect Control, 2024,23(12):1579-1583. DOI:10.12138/j. issn.1671-9638.20245437.

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  • 收稿日期:2024-06-24
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  • 在线发布日期: 2024-12-27
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