Analysis of the effect of infection prevention nursing on drainage of malignant pleural effusion with indwelling central venous catheter

Abstract

Background: The aim of this study was to explore the effect of infection prevention care on the drainage of malignant pleural effusion (MPE) by indwelling Central venous catheterization (CVC).Methods: From January 2016 to January 2018, 128 patients at our hospital who needed indwelling CVC for drainage of MPE were randomly divided into an infection prevention group and a conventional group.The corresponding nursing plan was given to compare the 2 groups in several measures, including nursing effect and complications.Results: After intervention, the total effective rate of the infection prevention group was 96.88%, while the total effective rate of the conventional group was 87.50%, which was a statistically significant difference (P<0.05). The disappearance time of pleural effusion, catheter indwelling time, and length of stay in the infection prevention group were significantly lower than those in the conventional group (P<0.05). The incidence of infection and the total incidence of all complications in the infection prevention group were significantly lower than those in the conventional group (P<0.05). The proportion of the number of cases with Karnofsky Performance Scale (KPS) ≤10 in the infection prevention group was significantly lower than that in the conventional group (P<0.05).Conclusions: As infection prevention care significantly improves clinical efficacy and reduces the occurrence of complications, it uses in clinic is warranted.

Incidence of complications from indwelling pleural catheter for pleural effusion: A meta‐analysis

“…Methods to prevent and effectively treat postoperative infection, in addition to primary disease management, are high priorities. Zhao et al studied 128 patients with MPE under focused preventive interventions, including maintaining an aseptic field throughout the surgical process, educating patients about normative IPC use, monitoring wound conditions, and regularly changing wound dressing and drainage bags; these significantly reduced IPC‐related infection incidence from 13% to 5% 61 . In addition to these preventive measures, Gilbert et al assessed 201 patients with MPE or BPE to show that use of prophylactic antibiotics decrease infection incidence to 2.2% 62 .…”

“…Zhao et al studied 128 patients with MPE under focused preventive interventions, including maintaining an aseptic field throughout the surgical process, educating patients about normative IPC use, monitoring wound conditions, and regularly changing wound dressing and drainage bags; these significantly reduced IPC‐related infection incidence from 13% to 5%. 61 In addition to these preventive measures, Gilbert et al assessed 201 patients with MPE or BPE to show that use of prophylactic antibiotics decrease infection incidence to 2.2%. 62 However, we assert that the need for prophylactic antibiotics should be confirmed with large sample studies, in light of growing drug resistance from improper antibiotic uses.…”