血管内置管后感染监测与预防措施  

MONITORING AND PREVENTIVE MEASURES FOR VASCULAR INTUBATION-RELATED INFECTION

作　　者：董根华[1] 姜贤政[1] 范丽娟[1] 韩秋瑾[1] 

机构地区：[1]杭州市第六人民医院,杭州310014

出　　处：《中国消毒学杂志》2009年第4期447-449,共3页Chinese Journal of Disinfection

摘　　要：目的了解血管内置管后感染的病原学,加强预防控制和消毒措施。方法采用回顾性调查方法,对2004.1-2008.6年本医院住院患者血管内置管感染病原菌及其耐药性进行了调查。结果浅静脉、深静脉留置、外周中心静脉置管留置、中心静脉插管留置、血透和人工肝等动静脉穿刺置管留置患者共5986例,发生置管相关性感染86例,感染发病率为1.44%。感染病原菌主要为革兰阳性球菌87例,占60.8%;革兰阴性杆菌47例,占32.9%;真菌9例,占6.3%。多数致病菌对临床常用抗生素产生耐药。结论引起血管置管后感染的致病菌以革兰阳性球菌为主,多数对抗生素耐药。Objective To know the etiology of infection after vascular intubation, in order to strengthen prevention and disinfection. Method Retrospective investigation method was used to study pathogenic bacteria and their drug resistance in patients infected after vascular intubation during Jan 2004 to June 2008. Results 5986 patients received vascular intubation of superficial veins, deep veins, peripheral vein, central vein, hemodialysis and artificial liver - related intubation. Of them, 86 developed vascular intubation - related infection （ 1.44% ）. The main pathogenic bacteria were Gram - positive cocci in 87 cases （60.8%） , Gram - negative bacilli in 47 cases （32.9%） and fungi 9（6.3% ）. Most pathogenic bacteria were resistant to antibiotics commonly used in clinic. Conclusion Main pathogenic bacteria of infection after vascular intubation were Gram - positive cocci, most of which were resistant to antibiotics.

关 键 词：血管置管 医院感染 病原菌 消毒措施 

分 类 号：R184[医药卫生—流行病学]