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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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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    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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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].中国感染控制杂志英文版,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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  • Received:July 13,2020
  • Revised:
  • Adopted:
  • Online: July 26,2021
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