慢性重型肝炎患者股静脉双腔导管细菌培养分析  

The analysis of germiculture in the double-cavity catheter in the femoral vein of patients suffering from sever chronic hepatitis

作　　者：俞海燕[1] 朱明利[1] 叶卫江[1] 白明辉[1] 

机构地区：[1]杭州市第六人民医院,浙江杭州310014

出　　处：《中国微生态学杂志》2006年第4期300-301,共2页Chinese Journal of Microecology

摘　　要：目的分析慢性重型肝炎患者股静脉双腔导管培养的菌群分布、药敏试验,与留置时间的相关性,探讨有效的防范措施。方法对慢性重型肝炎患者行股静脉双腔导管尖端增菌培养,并同时进行外周血培养。结果双腔导管细菌培养阳性25例,64%的病原菌为葡萄球菌属。留置时间10 d以上细菌培养阳性率明显增加。结论慢性重型肝炎患者导管相关性感染发生率高,严格的无菌操作和精心护理是防治导管感染的关键。Objective To analyze the relativity between the cultured microbe distribution, sensitivity of medication and indwelling time with double-cavity catheter embedded in the femoral vein of the patients suffering from severe chronic hepatitis, furthermore to obtain effective prevention. Methods Pieces of cusp of the double-cavity catheter and the peripheral blood were both cultured and analyzed. Results 25 cases of germiculture in the double-cavity catheter were positive 64%o of the pathogenic bacteria were Staphylococcus. The positive rate of germiculture was distincdy increased when indwelling time of the catheter was over 10 days. Conclusion The high incidence of infection related to catheter indwelling in chronic hepatitis patients showed that the strict administration and careful nursing were the key factor to prevent the infection.

关 键 词：慢性重型肝炎 静脉导管 细菌感染 

分 类 号：R512.6[医药卫生—内科学]