말기암환자에서 중심정맥관 드레싱 표준화를 위한 예비연구

초록

Background: Central venous catheter (CVC) has been increasingly used in patients with terminal cancer. Dressing is important to prevent CVC-related infections (CRIs). However, only few generally accepted standard protocols consider palliative care feasible. This study compared CRI rates between the previous and standardized dressing methods in patients with terminal cancer. Methods: We conducted a retrospective intervention to reduce the incidence of CRI in a hospice ward of the Korea University Guro Hospital. The interventions consisted of producing Centers for Disease Control guideline-based protocols for CVC dressing and education for medical providers. Among patients who had a CVC, 59 patients were enrolled in this study. We assessed and compared indicators such as fever and blood culture results, and recorded the number of CRI cases. Results: To compare between preinterventional and interventional periods, the CRI rates were 7.58 and 3.45 per 1,000 catheter-days, respectively. However, no statistically significant difference in CRI rate was found between the dressing protocols (P=0.526). Conclusion: Despite no significant difference in the CRI rate, CVC maintenance data increased. More prospective studies on the efficacy of standard dressing protocols should be performed for terminal cancer patients.

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