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机构地区:[1]天津医科大学第二医院检验科,天津300211
出 处:《医学综述》2010年第13期2038-2041,共4页Medical Recapitulate
摘 要:近年来,随着创伤性诊疗技术的广泛开展以及广谱抗生素、激素的广泛应用,血流感染的发病率有逐年增高趋势,严重影响着患者的康复和预后,是导致患者死亡的重要因素。血流感染的危险因素包括宿主因素、医院因素、致病菌因素等。预防措施包括保证中央静脉穿刺的安全、用抗生素浸泡导管、彻底清洗手、合理使用抗生素、重视监测工作等。积极治疗原发疾病,去除可能的诱发因素,严格无菌操作,合理使用抗菌药物是降低血流感染发生率,提高治愈率的关键。As the extensive use of invasive therapeutic technique,broad-spectrum antibiotics and glu- cocorticoid,the incidence of bloodstream infection has been gradually increasing in these years. While enhan- cing the cost,the bloodstream infection,as a major lethal factor,also has a great influence on the rehabilitation and prognosis of patients. The risk factors for bloodstream infection include host factors,hospital factors, pathogen factors,et al. The precautions include: ensuring the safety of central venous puncture,immersing the tube with antibiotics,washing hands thoroughly,the rational use of antibiotics,attaching importance to the monitoring work,et al. Active treatment of primary disease,removing potential causative factors,strict aseptic manipulation and rational use of antibacterials are the key points to reduce the rate of bloodstream infection and raise the cure rate.
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