کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8576528 | 1564393 | 2018 | 5 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Continuous betadine-bacitracin irrigation for vascular graft infections: A case series
ترجمه فارسی عنوان
آبیاری بتادین-باسیتراسین مداوم برای عفونتهای پیوند عروقی: یک سری موارد
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
موضوعات مرتبط
علوم پزشکی و سلامت
پرستاری و مشاغل بهداشتی
پرستاری
چکیده انگلیسی
The aim of the study was to conduct a retrospective chart review of patients who underwent betadine/bacitracin continuous irrigation (BBCI) for vascular graft infections (VGIs) to review its use as a treatment option. A retrospective chart review from 2013 to 2017 was conducted of patients with VGIs that were treated with BBCI postremoval of the infected graft. The BBCI is a continuous infusion of 0.25% betadine in normal saline at 0.3Â mL/kg/h for 48Â hours then followed by bacitracin infusion with a concentration of 50,000 units bacitracin/per liter normal saline at 0.3Â mL/kg/h for 72Â hours. Descriptive statistics were used to describe the sample. The nine adult patients who received postoperative BBCI had an age range of 30-81Â years, with average age of 58.8 years. Five of the subjects were females with four males. A total of nine patients with groin infections were identified, with two aortobifemoral bypasses, two axillofemoral bypasses, three femoral-femoral bypasses, one femoral artery pseudoaneurysm repair with Dacron patch, and one common femoral endarterectomy with Dacron patch. VGIs were identified from 10Â days up to 72Â months from the original vascular procedure. Six patients had negative wound cultures, while two had wound cultures positive for methicillin-resistant Staphylococcus aureus and one patient had positive culture for Escherichia coli. The length of time of BBCI ranged from 48 to 84Â hours with average of 57.6Â hours (standard deviation [SD]Â =Â 12.7Â hours). The length of time of the bacitracin irrigation ranged from 30 to 72Â hours with average of 48.4Â hours (SDÂ =Â 14.9Â hours). All patients healed their groin wounds except for an 81-year-old patient with aortobifemoral bypass graft who developed ischemic bowel and expired. Patients received at least 6Â weeks of intravenous antibiotics followed by oral antibiotic suppression therapy for life. VGIs are a devastating complication associated with a high morbidity. BBCI provides an option for antiseptic irrigation of the vascular graft site postgraft removal to promote wound closure.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Vascular Nursing - Volume 36, Issue 1, March 2018, Pages 40-44
Journal: Journal of Vascular Nursing - Volume 36, Issue 1, March 2018, Pages 40-44
نویسندگان
David V. RN, CCRN, ACNP, DNP, Catherine R. PhD, GNP-BC, CWOCN, CFCN, Kenneth J. MD, Gilbert R. MD,