중심정맥 삽관술 시행시의 감염성 합병증 고찰

• Published in: Kosin Medical Journal (Online) pp. 194 - 199
• Main Authors: 윤기영, 조부관, 공은희, 안수미, 김경은, 김희정, 장문경, 이수현, 신연명, 최경현
• Format: Journal Article
• Language: Korean
• Published: 고신대학교 의과대학 학술지 01.02.2006
• Subjects: 의학일반
• ISSN: 2005-9531; 2586-7024

Background/Aims： In recent years，intravenous catheters have been used in the hospitalized patients requiring fluids and medications, monitoring of the central venous pressure，and receiving the hyperalimentation. In spite of their usefulness in the management of the critically ill patients, the complications related to the intravenous catheters such as thrombosis, phlebitis，and sepsis have been well known. However，the actual incidence and bacterial pattern have not been well studied. This study was to investigate the difference in clinical way between colonized catheters and catheter-related bloodstream infections. Methods： From January 2004 to January 2005， 89 patients had done central venous catheters(CVC), receiving total parenteral nutrition(TPN) 51 and CVC for venous access 56 patients were included in this study. The patients ranged in age from 49 to 80 years, We evaluated 89 central venous catheterization patients were analyzed for blood culture, fever and catheter tip culture to identify the relationship between infectious complication and various clinical characteristics. Results： TPN formulas, indications of CVC, underlying diseases were associated with higher rates of positivity of blood cultures (P<0.05). Duration of CVC was related to the fever (P<0,05), No significant correlation was observed between duration of TPN and fever or blood cultures. Conclusions： TPN formulas and the duration of catheter dwelling time are associated with bacteremia and fever respectively. But this is more likely to be secondary to underlying diseases. Further study needs to be conducted in order to establish whether infectious complications are more related to TPN via CVC itself. KCI Citation Count: 0