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Body surface infrared thermometry in patients with central venous cateter-related infections

机译:中心静脉导管相关感染患者的体表红外测温仪

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Objective To evaluate if body surface temperature close to the central venous catheter insertion area is different when patients develop catheter-related bloodstream infections.Methods Observational cross-sectional study. Using a non-contact infrared thermometer, 3 consecutive measurements of body surface temperature were collected from 39 patients with central venous catheter on the following sites: nearby the catheter insertion area or totally implantable catheter reservoir, the equivalent contralateral region (without catheter), and forehead of the same subject.Results A total of 323 observations were collected. Respectively, both in male and female patients, disregarding the occurrence of infection, the mean temperature on the catheter area minus that on the contralateral region (mean ± standard deviation: -0.3±0.6°C versus-0.2±0.5oC; p=0.36), and the mean temperature on the catheter area minus that on the forehead (mean ± standard deviation: -0.2±0.5°C versus-0.1±0.5oC; p=0.3) resulted in negative values. Moreover, in infected patients, higher values were obtained on the catheter area (95%CI: 36.6-37.5oC versus 36.3-36.5oC; p0.01) and by temperature subtractions: catheter area minus contralateral region (95%CI: -0.17 - +0.33oC versus -0.33 - -0.20oC; p=0.02) and catheter area minus forehead (95%CI: -0.02 - +0.55oC versus-0.22 - -0.10oC; p0.01).Conclusion Using a non-contact infrared thermometer, patients with catheter-related bloodstream infections had higher temperature values both around catheter insertion area and in the subtraction of the temperatures on the contralateral and forehead regions from those on the catheter area.
机译:目的评估患者发生导管相关的血流感染时,靠近中心静脉导管插入区域的体表温度是否不同。方法观察性横断面研究。使用非接触式红外测温仪,从以下位置的39例中心静脉导管患者中连续采集了3次体表温度测量值:导管插入区域附近或完全可植入的导管储器,等效的对侧区域(无导管)和结果收集了323个观察值。无论是男性还是女性患者,无论是否发生感染,导管区域的平均温度都要减去对侧区域的平均温度(平均值±标准偏差:-0.3±0.6°C对-0.2±0.5oC; p = 0.36 ),而导管区域的平均温度减去额头的平均温度(平均值±标准偏差:-0.2±0.5°C对-0.1±0.5oC; p = 0.3)得出负值。此外,在受感染的患者中,导管面积(95%CI:36.6-37.5oC与36.3-36.5oC; p <0.01)和体温减去:导管面积减去对侧区域(95%CI:-0.17)获得了更高的值-+ 0.33oC对-0.33--0.20oC; p = 0.02)和导管面积减去前额(95%CI:-0.02-+ 0.55oC对-0.22--0.10oC; p <0.01)。结论在接触红外线温度计的情况下,患有导管相关血流感染的患者在导管插入区域附近以及在对侧和前额区域的温度减去导管区域的温度时均具有较高的温度值。

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