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首页> 外文期刊>Revista de la Sociedad Espanola de Enfermeria Nefrologica >Incidence of bacteriaemia in patients with permanent tunnelled haemodialysis catheters.
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Incidence of bacteriaemia in patients with permanent tunnelled haemodialysis catheters.

机译：永久性隧道式血液透析导管患者的细菌血症发生率。

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MARTIN CHACON, Engracia et al. Incidence of bacteriaemia in patients with permanent tunnelled haemodialysis catheters. Rev Soc Esp Enferm Nefrol [online]. 2008, vol.11, n.4, pp.277-281. ISSN 1139-1375.Catheter-related bacteriaemia is one of the main complications increasing the risk of loss of the catheter or even death of the patient. The use of sealing of the catheter lumen with antibiotics or the use of topical mupirocin on the exit orifice of the catheter have been proven to reduce the incident of bacteriaemia; however, the most aseptic possible handling of the catheter is the main tool for reducing this incidence. Goal: to assess the rate of incident of bacteriaeima in patients with permanent tunnelled haemodialysis catheters without the use of sealing with antibiotics or the use of mupirocin, and placing particular emphasis on asepsis during handling. All patients with tunnelled catheters between 1st January and 31st December 2007 were included. In total there were 17 patients, 4 men and 13 women with an average age of 71.3 (11.3) years. The protocol consisted of using as aseptic a field as possible, the use of gloves each time the catheter was handled, use of masks both by the handler and the patient and the disinfection of the tunnel exit orifice with chlorhexidine, and of both catheter connections at the start and finish of the session. At 31st December the prevalence of patients with tunnelled catheters was 38.5%. During the period studied, a total of 8 bacteriaemias occurred in a total of 4462 days of monitoring (incidence rate of 1.8 bacteriaemias/1000 catheter-days). Four blood cultures were positive for Staphylococcus epidermidis, 1 for Corynebacterium, 1 for Staphylococcus auricularis and 2 were negative. No other Staphylococcus aureus bacteriaemia occurred, nor any other sign of infection of the exit orifice. Conclusion: an aseptic as possible handling of the catheter reduces the risk of bacteriaemia related to the catheter without the need to use sealing with antibiotics or topical mupirocin.
机译：MARTIN CHACON，Engracia等人。永久性隧道式血液透析导管患者的细菌血症发生率。 Rev Soc Esp Enferm Nefrol [在线]。 2008年，第11卷，第4期，第277-281页。 ISSN 1139-1375。与导管相关的细菌血症是增加导管丢失甚至患者死亡风险的主要并发症之一。使用抗生素密封导管腔或在导管出口孔局部使用莫匹罗星已被证明可以减少细菌血症的发生。但是，导管的最无菌操作是减少这种情况的主要工具。目的：在不使用抗生素密封或使用莫匹罗星的情况下，评估使用永久性隧道式血液透析导管的患者中细菌病的发生率，并特别强调处理过程中的无菌性。纳入了2007年1月1日至12月31日之间所有带有导管的患者。总共有17例患者，男4例，女13例，平均年龄71.3（11.3）岁。协议包括尽可能在无菌的地方使用，每次处理导管时都要戴手套，操作者和病人都要戴口罩，用洗必泰消毒隧道出口孔，以及在会话的开始和结束。在12月31日，带导管的患者患病率为38.5％。在研究期间，总共进行了4462天的监测，总共发生了8个细菌血症（1.8个细菌血症/ 1000个导管天的发生率）。四种血液培养物中表皮葡萄球菌阳性，棒状杆菌1例，耳形葡萄球菌1例，阴性2例。没有发生其他金黄色葡萄球菌细菌血症，也没有任何其他感染出口孔的迹象。结论：尽可能无菌操作导管可降低与导管相关的细菌血症的风险，而无需使用抗生素或局部莫匹罗星密封。

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