恶性肿瘤患者静脉置管感染的分析与对策  

Venous Catheter Infection in Malignancy Patients and Its Countermeasures

作　　者：翟红岩[1] 艾建红[1] 蒋静[1] 吴爱丽[1] 王国权[1] 

机构地区：[1]解放军第307医院护理部,北京100071

出　　处：《中华医院感染学杂志》2009年第15期1977-1979,共3页Chinese Journal of Nosocomiology

基　　金：军队十一五计划课题(06MA353)

摘　　要：目的为恶性肿瘤患者安全使用中心静脉置管完成化学治疗,预防置管患者感染发生。方法回顾性调查2006年7月前后中心静脉置管的患者感染情况。结果在432例对照组中23例发生了感染,感染发生率为5.3%,而454例试验组中12例发生感染,感染发生率为2.6%;对照组中培养出的14株病原菌中以革兰阳性球菌和革兰阴性杆菌为主;而在试验组中培养出的6株病原菌中以革兰阴性杆菌为主。结论通过对中心静脉置管实行三级监控、全员培训、优化操作、规范维护、出院安全教育等各项预防感染管理措施,使感染明显下降,有效地预防了感染的发生,提高了患者治疗期间的生活质量。OBJECTIVE To make the patients using the central venous catheter safely when given chemotherapy and intravenous nutritional therapy, and to decrease the catheter infection by establishing effective infection-preventing systems. METHODS Many infection-preventing actions were carried out, including a three-level management, improving the workersr training in catheter operation and maintenance, and health education. RESULTS Comparing with the matched group, the infection rate of the experimental group was much lower after the actions. The actions prevented the increase of infection effectively. CONCLUSIONS Building and carrying out the systems are proved to be important measures to decrease the catheter infection and ensure the quality of life among patients during the therapy in hospital.

关 键 词：中心静脉置管 恶性肿瘤 预防感染 管理 

分 类 号：R73-31[医药卫生—肿瘤]