アブストラクト
| Title | 中心静脈カテーテル関連血流感染症発症に関与する危険因子の探索 |
|---|---|
| Subtitle | 論文 原著論文 |
| Authors | 星野祐太1, 渡邊卓嗣1, 西條文人2, 菅野和彦1 |
| Authors (kana) | |
| Organization | 1独立行政法人労働者健康安全機構東北労災病院薬剤部, 2外科 |
| Journal | 日本病院薬剤師会雑誌 |
| Volume | 57 |
| Number | 5 |
| Page | 548-552 |
| Year/Month | 2021 / 5 |
| Article | 原著 |
| Publisher | 日本病院薬剤師会 |
| Abstract | 中心静脈カテーテル関連血流感染症(central line-associated bloodstream infection:以下, CLABSI)の危険因子として世界的に複数の報告があるが, 日本人を対象とした報告は限られている. 本研究は, 中心静脈カテーテルを挿入した成人入院患者におけるCLABSI発症の危険因子を探索した. その結果, 体格指数および脂肪乳剤投与がCLABSI発症の独立した危険因子として同定された. さらに, CLABSI発症までの期間を比較したところ, CLABSI発症率は脂肪乳剤投与もしくは高カロリー輸液と脂肪乳剤の併用で経時的に高くなった. 本研究で同定された危険因子を有する患者に対し, 適切な栄養療法を実施し, 定期的な輸液ラインの交換とハブの消毒, 手指衛生の遵守を徹底・継続することで, CLABSI発症を予防できると考えられる. |
| Practice | 薬学 |
| Keywords | 中心静脈カテーテル関連血流感染症, 経静脈栄養, 脂肪乳剤, 危険因子 |
- 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。
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