著者
Tomoko Sakihama Yasuharu Tokuda
出版者
国立感染症研究所 Japanese Journal of Infectious Diseases 編集委員会
雑誌
Japanese Journal of Infectious Diseases (ISSN:13446304)
巻号頁・発行日
pp.JJID.2015.489, (Released:2016-02-19)
参考文献数
26
被引用文献数
6

The risk factors are unclear for peripheral venous catheter-associated bloodstream infections (PVCBSI) by Bacillus cereus (B. cereus). Thus, we aimed to examine the risk factors in patients with B. cereus PVCBSI by conducting a 2-year case-control study in a large teaching hospital. We analyzed all adult cases of B. cereus PVCBSI (37 patients) and 180 controls, who were randomly selected from among patients who had a PVC in place for 2 days or longer. Multivariate analysis using the conditional logistic regression model indicated that independent risk factors were use of a peripheral parenteral nutrition(PPN) solution with adjusted odds ratio (OR) of 88.7 (95% confidence interval [CI], 17.4-451.9), and steroid therapy [adjusted OR, 5.7 (95% CI, 1.3-24.4)]. In conclusion, use of PPN solutions or steroids was independent risk factors for B. cereus PVCBSI. Appropriate use of PPN solutions may help prevent B. cereus PVCBSI. Prospective studies are needed to confirm these results.

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外部データベース (DOI)

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@manabunoda アミノ酸含有輸液やステロイド投与はリスクファクターです。https://t.co/t8lNGF90eD
その点滴本当に必要ですか? 末梢の点滴の適正使用も重要な問題です 【末梢静脈輸液はバシラスによるカテ感染のリスク】 https://t.co/ZZkkdeTRKO
末梢カテ関連Bacillus cereus菌血症のリスク因子としての末梢静脈栄養,ケースコントロール研究 Jpn J Infect Dis https://t.co/kOaQcZfBnG
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アミノ酸輸液製剤とバチラス菌血症の関連 https://t.co/NMK8vtr2zs

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