CAJ | 학술논문

目的探讨与中央静脉导管相关的血液感染的风险因素，尤其是护工和抗菌浸渍因素的影响，这对有效确立预防措施至关重要。方法在两年期间，有预见性地监测重症监护室中抗菌浸渍、护工以及成年患者中中央静脉导管相关的血液感染的变量因素。结果在210例患者中，中中央静脉导管相关的血液感染的案例被确认的共计32例。只有在中央静脉导管被用于管理全肠外营养的患者中，抗菌浸渍中央静脉导管才降低了与中央静脉导管相关的血液感染风险。而没有接受全肠外营养管理的患者，其受与中央静脉导管相关的血液感染风险增加了。结论抗菌浸渍中央静脉导管在接受全肠外营养管理的患者中，其与中央静脉导管相关的血液感染的风险降低了66%。限制采用倒班护工对在使用中央静脉导管患者进行护理、使用外周静脉置入的中央静脉导管都能降低与中央静脉导管相关的血液感染的风险。
목적탐토여중앙정맥도관상관적혈액감염적풍험인소，우기시호공화항균침지인소적영향，저대유효학립예방조시지관중요。방법재량년기간，유예견성지감측중증감호실중항균침지、호공이급성년환자중중앙정맥도관상관적혈액감염적변량인소。결과재210례환자중，중중앙정맥도관상관적혈액감염적안례피학인적공계32례。지유재중앙정맥도관피용우관리전장외영양적환자중，항균침지중앙정맥도관재강저료여중앙정맥도관상관적혈액감염풍험。이몰유접수전장외영양관리적환자，기수여중앙정맥도관상관적혈액감염풍험증가료。결론항균침지중앙정맥도관재접수전장외영양관리적환자중，기여중앙정맥도관상관적혈액감염적풍험강저료66%。한제채용도반호공대재사용중앙정맥도관환자진행호리、사용외주정맥치입적중앙정맥도관도능강저여중앙정맥도관상관적혈액감염적풍험。
Objective To Define the risk factors for centralvenous catheter (CVC)-associated bloodstream infections(BSIs) is very improtant to establish prevention measures, especial y for factors such as nurse staffing and antimicrobial-impregnated CVCs. Methods We prospectively monitored CVCs, nursestaffing, and patient-related variables for CVC-associated BSIs among ICUs during 2 years. Results A total of 32 CVC-associated BSIs were identified among 210 patients.Antimicrobial-impregnated CVCs reduced the risk for CVC associated BSI only among patients whose CVC was used toadminister total parenteral nutrition Among patients not receiving TPN. Conclusion Antimicrobial-impregnated CVCs reduced the risk of CVC-associated BSI by 66%in patients receiving TPN. Limiting the use of float nurses for ICU patients with CVCs and the use of PICCs may also reduce the risk of CVC-associated BSI.