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master's thesis
Komplikacije kućne totalne parentalne prehrane
Zagreb: University of Zagreb, School of Medicine, 2014. urn:nbn:hr:105:559847
Bukovina, Gordana
University of Zagreb
School of Medicine
Department of Pediatrics

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Bukovina, G. (2014). Komplikacije kućne totalne parentalne prehrane (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:559847

Bukovina, Gordana. "Komplikacije kućne totalne parentalne prehrane." Master's thesis, University of Zagreb, School of Medicine, 2014. https://urn.nsk.hr/urn:nbn:hr:105:559847

Bukovina, Gordana. "Komplikacije kućne totalne parentalne prehrane." Master's thesis, University of Zagreb, School of Medicine, 2014. https://urn.nsk.hr/urn:nbn:hr:105:559847

Bukovina, G. (2014). 'Komplikacije kućne totalne parentalne prehrane', Master's thesis, University of Zagreb, School of Medicine, accessed 19 April 2024, https://urn.nsk.hr/urn:nbn:hr:105:559847

Bukovina G. Komplikacije kućne totalne parentalne prehrane [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2014 [cited 2024 April 19] Available at: https://urn.nsk.hr/urn:nbn:hr:105:559847

G. Bukovina, "Komplikacije kućne totalne parentalne prehrane", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2014. Available at: https://urn.nsk.hr/urn:nbn:hr:105:559847

Metadata
TitleKomplikacije kućne totalne parentalne prehrane
Title (english)Complication of home total parental nutrition
AuthorGordana Bukovina
MentorSanja Kolaček (mentor)
Committee memberJasminka Stepan Giljević (predsjednik povjerenstva)
Committee memberSanja Kolaček (član povjerenstva)
Committee memberMarija Jelušić (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Pediatrics)
Zagreb
Defense date and country2014-09-30, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Nursing
Abstract
Cilj: Cilj ovog istraživanja bio je utvrditi učestalost infekcija povezanih s centralnim venskim kateterom (CVK) u bolesnika na parenteralnoj prehrani u Klinici za dječje bolesti Zagreb u periodu od 24 godine, s posebnim naglaskom na kućnu parenteralnu prehranu. ----- Metode: Retrospektivno su analizirani podaci sve djece na parenteralnoj prehrani (N= 78) liječene u našem centru u periodu od 1989-2013. godine. ----- Rezultati: Parenteralna prehrana uvedena je u srednjoj dobi of 1,2 godine (raspon od 6 dana-17,6 godina), ukupno je bilo 45 dječaka i 33 djevojčice. Od 78 bolesnika njih 15 (19.2%) primalo je kućnu parenteralnu prehranu nakon otpusta iz bolnice. Ukupno je upotrebljeno 107 CVK (prosječno1,37/bolesniku). Ukupno vrijeme CVK iznosi 23 880 dana odnosno 232,2 dana/CVK. Tijekom promatranog razdoblja zabilježeno je 46 sepsi uzrokovanih CVK (1,9/1000 dana parenteralne prehrane). Na kućnoj parenteralnoj prehrani broj septičkih komplikacija značajno je manji u odnosu na bolničku ( 0,85/1000 vs 5,8/1000 dana parenteralne prehrane; p < 0.001). Ukupno 17 centralnih venskih katetera izvađeno je zbog sepsi uzrokovanih CVK. Tijekom navedenog razdoblja od komplikacija parenteralne prehrane umrlo je ukupno četvero djece (5,1% ; 0,17 smrtnih ishoda na 1000 dana parenteralne prehrane). Dvoje djece umrlo je od posljedica sepse (jedno na kućnoj i jedno na bolničkoj parenteralnoj prehrani). Drugo dvoje djece umrlo je od zatajenja jetre uzrokovanog parenteralnom prehranom. ----- Zaključak: U zaključku možemo reći da je učestalost infekcija povezanih s CVK izrazito niska i u bolničkoj i kućnoj parenteralnoj prehrani čemu doprinosi dobro medicinsko zbrinjavanje i sestrinska skrb ovih bolesnika.
Abstract (english)
Background & aims: The aim was to assess the rate of central venous catheter (CVC) related complication, mostly sepsis in patients on parenteral nutrition (PN) at our hospital center during a period of 24 years with special emphasizes on hom PN (HPN). ----- Methods: Data on all children who received PN for more than 4 weeks (n = 78) in our tertiary hospital center during the period of 24 years (from 1989-2013), were retrospectively analyzed. ----- Results: The mean age at the time of introducing the PN was 1.2 years (range 6 days to 17.6 years), male/female ratio 45/33. Out of these 78 patients, 15 (19.2%) patients continued HPN after discharge from the hospital. Altogether 107 CVCs were used (mean 1.37 per patient) and total CVC time was 23,880 days, which makes 232.2 days per CVC. During the study period, there were 46 CVC related sepsis episodes (1.9/1000 days of PN). Total number of septic episodes was significantly lower in HPN compared to hospital PN (0.85/1000 vs. 5.8/1000 days of PN; P < 0.001). Septic episodes led to removal of 17 (15.9) CVCs. Althogheter 4 (5.1%) patients died due to PN related complication (0,17 deaths on 1000 PN days); two patients from CVC related sepsis (one on HPN and one at hospital) and two patients died due to intestinal failure associated liver disease (IFALD). ----- Conclusion: The rate of CVC related sepsis in our PN cohort was exceptionally low in both hospital and home setting indication good medical management and nursing care.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:559847
Study programmeTitle: Studies in Nursing
Study programme type: university
Study level: graduate
Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2015-11-03 13:25:13