Effects of different aseptic procedures on occurrence of central venous catheter-related infections in non-surgical patients: a retrospective cohort study
10.3760/cma.j.cn131073.20220320.00802
- VernacularTitle:不同无菌操作流程对非手术患者中心静脉导管相关感染发生的影响：回顾性队列研究
- Author:
Huihui ZHU
1
;
Jiaqiang ZHANG
;
Xuhui CONG
;
Ningtao LI
;
Mingzhu CUI
;
Mingyang SUN
Author Information
1. 河南省人民医院麻醉与围术期医学科，郑州 450003
- Keywords:
Catheterization, central venous;
Catheter-related infections;
Asepsis;
Cohort studies;
Retrospective studies
- From:
Chinese Journal of Anesthesiology
2022;42(8):901-903
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the value of implementing strict aseptic operation procedures in preventing central venous catheter-related infections.Methods:This retrospective cohort study consisting of non-surgical patients who underwent central venous catheterization from 2015 to 2019 were conducted.The patients were divided into 2 groups according to routine aseptic procedures and strict aseptic procedures, the patients between 2015 and 2017 served as routine aseptic procedure group (group C), and the patients between 2017 and 2019 served as strict aseptic procedure group (group E ). The occurrence of central venous catheter-related infections (local infection, bloodstream infection) was recorded within 6 days after catheterization.Results:Compared with group C, the incidence of central venous catheter-related local infection was significantly decreased (1.79% vs. 0.48%, P<0.001; the rate ratio being 0.27 ranged in 0.10-0.30), while no significant change was found in the incidence of central venous catheter-related bloodstream infection in group E (0.29% vs. 0.19%, P>0.05). The cumulative incidence of central venous catheter-related infections was 0.67%(<1.00%) in group E. Conclusions:Implementation of strict aseptic procedures during central venous catheterization can further reduce the occurrence of central venous catheter-related infections, which has significant clinical value.
