지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2024.3
- 수록면
- 9 - 15 (7page)
- DOI
- 10.17479/jacs.2024.14.1.9
이용수
초록· 키워드
오류제보하기
Purpose: Despite guidelines on the prevention of central venous line-associated bloodstream infection, itis left to the clinical judgment of the attending physician to determine the risk of infection and how longa central line should remain in place. This study aimed to identify risk factors for peripherally insertedcentral venous catheter (PICC)-associated infection.
Methods: This retrospective study included 1,136 patients with a PICC who were hospitalized at theNational Health Insurance Service Ilsan Hospital (January 2015 to January 2022). Electronic medicalrecords were reviewed for patients with positive blood cultures. Patients with suspicion of infection atthe PICC insertion site or with unclear infection at other sites were defined as having a PICC-associatedinfection.
Results: Thirty-five patients (3.08%) had a PICC-associated infection. There were significant differencesin hypertension (p = 0.026), lung disease (p = 0.001), PICC duration > 14 days, and antibiotic use beforePICC insertion (p = 0.016) between no PICC-associated infection, and infection in the bloodstream.
Total parenteral nutrition with PICC was not significantly different between groups. Logistic regressionanalysis identified hypertension, lung disease, PICC duration > 14 days (OR 2.088, 95% CI 1.032-4.224, p = 0.041), and antibiotic use before PICC insertion (OR 0.159, 95% CI 0.049-0.515, p = 0.002) asindependent risk factors for PICC-associated infection.
Conclusion: The study suggested that PICCs maintained longer than 14 days is a risk factor for PICC-associated infection. Antibiotic use prior to PICC insertion was observed as a negative factor for PICC-associated infection.
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