加護病房中心靜脈導管優碘消毒時間對原發性血流感染的影響

The Effect of 10% Povidone-lodine Sterilization on Prevention of Central Line Catheter-Related Primary Bacteremia in Intensive Care Unit

黃惠美(Hui-Mei Huang) ； 王曼溪(Man-His Wang) ； 李碧華(Bea-Hwa Lee) ； 簡微年(Mee-Nin Kan)

《感染控制雜誌》 17卷6期 (2007/12) Pp. 366-373

https://doi.org/10.6526/ICJ.200712_17(6).0002

摘要

院內血流感染易造成病人住院時間延長，增加醫療資源消耗。本研究之目的在探討中心靜脈導管插入前及傷口換藥時，優碘消毒時間足30秒對原發性血流感染的影響。在民國90年2月，日至8月31日之間，從中部某醫學中心之某加護病房，共收集163位個案爲研究對象，對實驗組個案嚴格執行優碘消毒時間足30秒。結果顯示，對照組發生原發性血流感染者4人，實驗組發生血流感染者1人；有嚴格執行優碘消毒時間足30秒之原發性血流感染率爲1.20‰，未嚴格執行者感染率爲4.27‰。建議醫護人員消毒時應讓優碘消毒時間足30秒，並儘量縮短中心靜脈導管之使用期限。

關鍵字

加護病房 ； 原發性血流感染 ； 優碘消毒

並列摘要

Nosocomial bacteremia would Cause prolonged hospitalization and increased medical cost. In this study, we prospectively performed 10% povi-done-iodine sterilization with 30 seconds air-dry before intravenous catheterization or changing dressing on the injection site to see the effects on prevention of primary bacteremia. From February 1, 2001 to August 31, 2001, totally 163 patients at an intensive care unit (ICU) in a tertiary medical center were enrolled. The case group of patients received strict 10% povidone-iodine sterilization with 30 seconds air-dry. Primary bacteremia developed in 4 patients (4.3‰) in the control group and one (l.2‰) in the case group. We suggest using 10% povidone-iodine sterilization with 30-second air-dry and decreasing the use of intravascular catheters to prevent the occurrence of primary bacteremia.

並列關鍵字

Intensive care unit ； primary bacteremia ； povidone-iodine ； sterilization