{"title":"重度神经性厌食症患者导管相关性血流感染。","authors":"Takashi Hirata, Kazuyuki Yasuda, Yusuke Iwata, Takuji Uemura, Yu Aruga, Risa Shioe, Niina Uchinuma, Toshio Tamaoki, Takefumi Suzuki","doi":"10.1111/ppc.13050","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Anorexia nervosa (AN) may be treated with intravenous hyperalimentation (IVH) that may be associated with catheter-related bloodstream infection (CRBSI).</p><p><strong>Design and methods: </strong>Retrospective chart review was conducted to compare those who developed CRBSI were compared with those who did not.</p><p><strong>Findings: </strong>Of 34 patients, 17 episodes of AN treated with IVH were identified, of which five resulted in CRBSI. The average body mass index at admission was low at 12.2. Patients who needed physical restraint during IVH had a higher (albeit statistically nonsignificant) risk. Also, those with purging had numerically lower risk.</p><p><strong>Practice implications: </strong>CRBSI complicated IVH in 29.4% instances of severe life-threatening AN in our sample. Whether physical restraints and no purging constitute a risk factor of CRBSI needs to be further investigated.</p>","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Catheter-related bloodstream infection in patients With severe anorexia nervosa.\",\"authors\":\"Takashi Hirata, Kazuyuki Yasuda, Yusuke Iwata, Takuji Uemura, Yu Aruga, Risa Shioe, Niina Uchinuma, Toshio Tamaoki, Takefumi Suzuki\",\"doi\":\"10.1111/ppc.13050\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Anorexia nervosa (AN) may be treated with intravenous hyperalimentation (IVH) that may be associated with catheter-related bloodstream infection (CRBSI).</p><p><strong>Design and methods: </strong>Retrospective chart review was conducted to compare those who developed CRBSI were compared with those who did not.</p><p><strong>Findings: </strong>Of 34 patients, 17 episodes of AN treated with IVH were identified, of which five resulted in CRBSI. The average body mass index at admission was low at 12.2. Patients who needed physical restraint during IVH had a higher (albeit statistically nonsignificant) risk. Also, those with purging had numerically lower risk.</p><p><strong>Practice implications: </strong>CRBSI complicated IVH in 29.4% instances of severe life-threatening AN in our sample. Whether physical restraints and no purging constitute a risk factor of CRBSI needs to be further investigated.</p>\",\"PeriodicalId\":20019,\"journal\":{\"name\":\"Perspectives in Psychiatric Care\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2022-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Perspectives in Psychiatric Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/ppc.13050\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/2/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perspectives in Psychiatric Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ppc.13050","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/2/13 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Catheter-related bloodstream infection in patients With severe anorexia nervosa.
Purpose: Anorexia nervosa (AN) may be treated with intravenous hyperalimentation (IVH) that may be associated with catheter-related bloodstream infection (CRBSI).
Design and methods: Retrospective chart review was conducted to compare those who developed CRBSI were compared with those who did not.
Findings: Of 34 patients, 17 episodes of AN treated with IVH were identified, of which five resulted in CRBSI. The average body mass index at admission was low at 12.2. Patients who needed physical restraint during IVH had a higher (albeit statistically nonsignificant) risk. Also, those with purging had numerically lower risk.
Practice implications: CRBSI complicated IVH in 29.4% instances of severe life-threatening AN in our sample. Whether physical restraints and no purging constitute a risk factor of CRBSI needs to be further investigated.
期刊介绍：
Perspectives in Psychiatric Care (PPC) is recognized and respected as THE journal for advanced practice psychiatric nurses. The journal provides advanced practice nurses with current research, clinical application, and knowledge about psychiatric nursing, prescriptive treatment, and education. It publishes peer-reviewed papers that reflect clinical practice issues, psychobiological information, and integrative perspectives that are evidence-based. Perspectives in Psychiatric Care includes regular columns on the biology of mental illness and pharmacology, the art of prescribing, integrative perspectives, and private practice issues.
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