Infections associated with subclavian dialysis catheters: the key role of nurse training
| Autor: | Jean-Claude Stolear, Michel Goldman, Jean-Louis Vanherweghem, Elisabeth Schoutens Serruys, Yves Waterlot, Claude Thayse, Michel Dhaene, Jean-Pierre Sabot |
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| Rok vydání: | 1986 |
| Předmět: |
Risk
medicine.medical_specialty Resuscitation Staphylococcus aureus Quality Assurance Health Care business.industry medicine.medical_treatment Staphylococcal Infections Catheter-Related Infections Catheters Indwelling Renal Dialysis Sepsis Staphylococcus epidermidis Medicine Humans Diabetic Nephropathies Nurse education Hemodialysis business Intensive care medicine Complication Education Nursing Dialysis |
| Zdroj: | Nephron. 42(2) |
| ISSN: | 1660-8151 |
| Popis: | Two hundred subclavian dialysis catheters were placed in 148 patients who kept them in place for a total of 2,798 days. Catheterization time ranged from 1 to 79 days with an average of 14.0 +/- 1.0 days per catheter and 18.9 +/- 1.0 days per patient. Twenty nine catheters were infected, 17 of which were the source of bacteremias due to Staphylococcus epidermidis in 13 cases and to Staphylococcus aureus in 4 cases. The incidence of sepsis was not significantly greater in diabetic patients, in patients with corticotherapy or in patients presenting an underlying systemic disease. On the contrary, the incidence was greater in hospitalized patients (15 bacteremias during 1,948 catheter days) than in ambulatory patients (2 bacteremias during 850 catheters-days) as well as during a period corresponding to a greater number of untrained nurses enrolled in the dialysis team. During this period, 6 sepsies occurred in 19 catheters (other periods: 7 sepsies/116 catheters, p less than 0.01). 6 of 28 nurses had less than 3 months of professional experience (other periods: 1 of 25, p less than 0.01). These data underline the key role of nurse training in the prevention of catheter-related infections. |
| Databáze: | OpenAIRE |
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