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抗生素锁定疗法和集群护理管理在短肠综合征或完全植入式静脉通路端口治疗的儿童感染中的回顾性研究
Authors Xiao XL, Yang QX, Niu HZ, Li LJ, Xie ZJ
Received 15 November 2022
Accepted for publication 11 January 2023
Published 15 February 2023 Volume 2023:16 Pages 431—438
DOI https://doi.org/10.2147/JMDH.S397737
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Scott Fraser
Objective: To explore the effective response strategies for infections in infants with short bowel syndrome and solid abdominal tumours, treated with totally implantable venous access ports (TIVAPs).
Methods: A total of 210 children who were treated with a TIVAP in our department from 2020 to 2021 were selected for this retrospective study. Eight of these children diagnosed with a catheter-related bloodstream infection were studied in this study; antibiotic lock therapy (ALT) and cluster nursing management were used for treatment, and their effects on the infection outcome were observed.
Results: Among the eight children, seven access ports were successfully protected, and one catheter was removed from the right chest wall port due to repeated infection. In this one child, the left side was re-implanted.
Conclusion: The use of the ALT combined with cluster-based nursing can better treat infections of TIVAPs, improve the children’s healing time, and has important clinical significance in the prevention of complications from the infection and improving the treatment and nursing of the patients diagnosed with these infections.
Keywords: totally implantable venous access port, short bowel syndrome and solid abdominal tumours, catheter-related bloodstream infection, cluster nursing management