Lower incidence of catheter-related bloodstream infection in subclavian venous access in the presence of tracheostomy than in femoral venous access: prospective observational study

被引：7
|
作者：
Lorente, L. [1 ]
Jimenez, A. [2 ]
Martin, M. M. [1 ]
Palmero, S. [1 ]
Jimenez, J. J. [1 ]
Mora, M. L. [1 ]
机构：
[1] Hosp Univ Canarias, Intens Care Unit, San Cristobal la Laguna 38320, Santa Cruz Tene, Spain
[2] Hosp Univ Canarias, Res Unit, Tenerife, Spain
来源：
CLINICAL MICROBIOLOGY AND INFECTION | 2011年 / 17卷 / 06期
关键词：
Bacteraemia; central venous catheter; femoral; subclavian; tracheostomy; CRITICALLY-ILL PATIENTS;
D O I：
10.1111/j.1469-0691.2010.03406.x
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
Guidelines for the prevention of catheter-related bloodstream infection (CRBSI) recommend subclavian rather than femoral venous access to minimize the risk of CRBSI. However, they do not address the issue of CRBSI with subclavian venous access in the presence of tracheostomy, where the incidence of CRBSI has been found to be higher than without tracheostomy. In this study, we found lower CRBSI in subclavian venous access in the presence of tracheostomy than in femoral venous access (3.9 vs. 10.1 CRBSI per 1000 catheter-days; odds ratio = 0.39; 95% confidence interval <= 0.001-0.91; p 0.03).
引用
收藏
页码：870 / 872
页数：3
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