Prevention of Catheter-Related Infections Using A Closed Hub System in Patients With Pulmonary Arterial Hypertension
スポンサーリンク
概要
- 論文の詳細を見る
Background Most of the patients with pulmonary arterial hypertension (PAH) receiving intravenous epoprostenol have experienced catheter-related infections during long-term treatment. Catheter hub was reported to be the most important source of catheter-related infections. To prevent the catheter-related infections, we have introduced a closed hub system and compared the incidence of catheter-related infections with that in patients using a non-closed hub system. Methods and Results We evaluated the results obtained on 24 occasions in 20 patients with PAH between June 1999 and December 2005. On 11 occasions, a non-closed hub system was used and on 13 cases a closed hub system. We classified the catheter-related infection into a catheter-related bloodstream infection (CRBSI) group or a tunnel infection group based on the pathway of bacteria. The CRBSI rate was 0.89 per 1,000 catheter days in the non-closed hub system group vs 0.10 per 1,000 catheter days in the closed hub system group. Kaplan-Meier analysis showed that the risk of CRBSI significantly decreased in the closed hub system group. None of the patients died as a direct consequence of catheter-related infection during the study period. Conclusions We successfully prevented CRBSI by using a closed hub system.
- 社団法人日本循環器学会の論文
- 2007-03-20
著者
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Ohe Tohru
Department of Cardiovascular Medicine, Okayama University Graduate School of Medical and Dentistry
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Kimura Hideo
国立病院機構岡山医療センター 循環器科
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Miyaji Katsumasa
Division of Cardiology, National Hospital Organization Okayama Medical Center
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Hata Katsuya
Department Of Physiology Kawasaki Medical School
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Matsubara H
Dep. Of Cardiovascular Medicine Graduate School Of Medicine Dentistry And Pharmaceutical Sciences Ok
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Hisamatsu Kenichi
Dep. Of Cardiovascular Medicine Graduate School Of Medicine Dentistry And Pharmaceutical Sciences Ok
-
Hisamatsu Kenichi
国立病院機構岡山医療センター 循環器科
-
Hisamatsu Kenichi
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And P
-
Fukushima (kusano)
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine
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Fukushima Kusano
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And P
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Munemasa Mitsuru
Department Of Cardiology National Hospital Organization Okayama Medical Center
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Munemasa Mitsuru
Division Of Cardiology National Hospital Organization Okayama Medical Center
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AKAGI Satoshi
Division of Cardiology, National Hospital Organization, Okayama Medical Center
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Matsubara Hiromi
Division Of Cardiology National Hospital Organization Okayama Medical Center
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Miyaji Katsumasa
Department Of Cardiology National Hospital Organization Okayama Medical Center
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Miyaji Katsumasa
Division Of Cardiology National Hospital Organization Okayama Medical Center
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Ogawa Aiko
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And P
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Ohe Tohru
Department Of Cardiovascular Medicine Okayama University
-
Kawai Yusuke
Division Of Cardiology National Hospital Organization Okayama Medical Center
-
Akagi Satoshi
Division Of Cardiology National Hospital Organization Okayama Medical Center
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Fujimoto Yoshihisa
Division of Cardiology, National Hospital Organization, Okayama Medical Center
-
Hisamatsu Kenichi
Division of Cardiology, National Hospital Organization, Okayama Medical Center
-
Ogawa Aiko
Division of Cardiology, National Hospital Organization Okayama Medical Center
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Akagi Satoshi
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicene Dentisty And Ph
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Hisamatsu Kenichi
Department Of Cardiology National Hospital Organization Okayama Medical Center
-
Fujimoto Yoshihisa
Department Of Cardiology National Hospital Organization Okayama Medical Center
-
Ohe Tohru
岡山大学 医歯薬学総合研究科循環器内科
-
Ohe Tohru
Department Of Cardiovascular Surgery And Cardiology
-
Fujimoto Yoshihisa
Division Of Cardiology National Hospital Organization Okayama Medical Center
-
Ohe Tohru
Cardiovascular Medicine Okayama University Medical School
-
Hisamatsu Kenichi
Division Of Cardiology National Hospital Organization Okayama Medical Center
-
Koyama Keiko
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And P
-
Hashimoto Ken
Department Of Physiology Kawasaki Medical University
-
Hashimoto Katsushi
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And P
-
Akagi Satoshi
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicene Dentisty And Ph
-
Akagi Satoshi
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicene Dentisty And Pharmaceutical Sciences
-
Ohe Tohru
Department Of Cardiology Okayama University
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Akagi Satoshi
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine Dentistry And Pharmaceutical Sciences
-
Fukushima Kusano
Department Of Cardiovascular Medicine Okayama University
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