In:
Nihon Kyukyu Igakukai Zasshi: Journal of Japanese Association for Acute Medicine, Wiley, Vol. 28, No. 11 ( 2017-11), p. 845-851
Abstract:
Cannulation site is often contaminated by feces because of incontinence. Few reports regarding fecal incontinence management system (FMS) have been discussed for preventing the contamination of intravascular catheters, so we clarify the effect of FMS. We retrospectively studied 63 patients undergoing extracorporeal membrane oxygenation (ECMO) on extracorporeal cardiopulmonary resuscitation (ECPR) for out–of–hospital cardiac arrest (OHCA) between January 2010 and December 2015. Patients were divided into two groups according to the use or no use of FMS. Patients who died within 48 hours or from whom cannulae for ECMO were removed within 48 hours were excluded. Among the 63 patients, 31 underwent FMS. No difference in age, sex, target temperature management, and prophylactic antibiotic use was observed between both the groups. The median duration of ECMO was 4 days in both the groups. The incidence of bacteremia was 0 in the FMS group and 6 (19%) in the no FMS group (P=0.024). FMS may affect the incidence of bacteremia in patients with OHCA undergoing ECMO on ECPR.
Type of Medium:
Online Resource
ISSN:
1883-3772
,
1883-3772
DOI:
10.1002/jja2.2017.28.issue-11
Language:
English
Publisher:
Wiley
Publication Date:
2017
detail.hit.zdb_id:
2846771-1
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