血管内导管相关血流感染的临床分析  

Intravascular Catheter-related Bloodstream Infection:A Clinical Analysis

作　　者：孙立英[1] 张红鹰[2] 刘坤[1] 杜晓玲[1] 

机构地区：[1]北京市朝阳医院,北京100020 [2]北京军区总医院,北京100026

出　　处：《中华医院感染学杂志》2007年第6期676-677,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解血管内导管相关血流感染(CRBSI)的临床及病原学分布特点,为更好地预防和治疗CRBSI提供帮助。方法对诊断明确的44例CRBSI采取回顾性调查,对危险因素进行分析并提出预防措施。结果重症监护病房(ICU)是重点发病区;革兰阳性球菌占69.38%为主要病原菌;基础疾病、免疫功能低下、滥用抗菌药物等是其发生的危险因素。结论严格的无菌操作、细致的导管护理、有效地抗菌药物使用、缩短置管时间是预防CRBSI的有效措施。OBJECTIVE To find out the clinical character and pathogen of intravascular catheter-related bloodstream infection（CRBSI）, and analyze the related risk factors and provide prevention measures. METHODS Totally 44 patients who had the definite diagnosis of CRBSI were investigated retrospectively. RESULTS The distribution of CRBSI was higher in ICU. Gram-positive cocci were the main pathogens. The risk factors included： severe underlying diseases, weak immunity, unsuitable use of anitibiotic and so on. CONCLUSIONS Be strickly abide by the principle of sterilization technology, take good care of the catheleter and reduce the time of indwelling time are the effective measures for preventing CRBSI.

关 键 词：血管内置管 医院感染 预防治疗 

分 类 号：R197.32[医药卫生—卫生事业管理]