J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 922KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 105(11): 705-708, 2004

Feature topic

MANAGEMENT OF INTRAVASCULAR CATHETERS

1) Department of Surgery, NTT West Co. Tokai Hospital, Nagoya, Japan
2) Department of Gastroenterological Surgery, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan

Takashi Okubo1), Eiko Ohara1), Akishige Nakamura1), Hiromitsu Takeyama2), Tadao Manabe2)

Bloodstream infection derived from an intravascular catheter occupies an important position among the various types of nosocomial infection. It is therefore necessary to establish a system for preventing catheter infection not only as measures for each separate infection, but also for the entire hospital. Catheter infections are mainly caused by contamination of the connecting part of a transfusion line during the infusion of drug solution as well as by contamination of the part of the catheter inserted. Consequently, the greatest possible care should be taken in the preparation of aseptic transfusion and the prevention of contamination when connecting a transfusion line. ln particular, there are problems with three-way stopcocks management of hubs, frequency of transfusion line exchange, fat emulsion irijection method and blood preparation. lt is most important to consider effective nutritional management methods that do not require the insertion of a central venous catheter.

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