PICC与PIV在白血病患儿治疗期间院内感染发生率的比较  

Investigation the incidence of infection in hospital of applicating PICC and PIV in children with leukemia.

作　　者：余春燕[1] 黄心茹[1] 刘日阳[1] 

机构地区：[1]广东省惠州市中心人民医院,516001

出　　处：《护理实践与研究》2009年第13期16-17,共2页Nursing Practice and Research

摘　　要：目的:探讨白血病患儿采用中心静脉导管和外周静脉治疗期间发生院内感染的情况。方法:本组白血病患儿60例,PICC组32例,住院192例次;PIV组28例,住院168例次。对两组院内感染发生率、感染部位、常见病原菌及预后进行回顾性对照分析。结果:PICC组院内感染发生率为35.4%,其中呼吸道、口腔、消化道、穿刺部位局部感染、静脉炎的发生率分别为20.3%、7.8%、3.6%、1%、2.6%;PIV组院内感染发生率为57.1%,其中呼吸道、口腔、消化道、穿刺部位感染、静脉炎的发生率分别为31.8%、8.9%、5.3%、4.7%、6.5%。两组比较有显著性差异(P(0.01)。两组痰培养、血培养主要病原菌无明显差异。结论:经外周置入中心静脉导管在白血病患儿中的应用降低了院内感染的发生率。Objective：To investigate the incidence of hospital infection of placing peripherally inserted central catheter （PICG） and peripheral intravenous （PIV） group in children with leukemia. Methods ：60 children patients with leupenia were divided into two groups at random ,32 cases of PICC group, hospitulized 192 times; 28 eases of PIV greup,hospitalized 168 times;the incidence of hospital infection, infection site, common pathogens and prognosis of two groups were analyzed retrospectively. Results：In the group of PICC, the incidence of infection in hospital was 35.4%, including respiratory tract, mouth, digestive tract, puncture site of local infection, the incidence of phlebitis was 20.3% ,7.8% ,3.6%, 1% ,2.6%. In the group of PIV, the incidence of infection in hospital was 57.1%, including respiratory tract, mouth, digestive tract, puncture site infection, phlehitis incidence rates were 31. 8% ,8.9% ,5.3% ,4.7% ,6.5%. There was significant difference between two groups （P 〈 0.01 ）. There was no significant difference the major pathogens of sputum culture blood culture between two groups. Conclusion：Periphendly inserting central catheters in children with leukemia could reduce the incidence of infection in hospital.

关 键 词：中心静脉导管 白血病 院内感染 

分 类 号：R473.73[医药卫生—护理学]