ICU导管相关血流感染危险因素分析与干预  

An analysis of the risk factors of ICU catheter-related bloodstream infection and interventions

作　　者：陈燕萍[1] 冼慧仪[1] 

机构地区：[1]广东医学院附属石龙博爱医院血液透析室,广东东莞523325

出　　处：《中国当代医药》2011年第23期50-51,共2页China Modern Medicine

摘　　要：目的:观察医院重症监护病房(ICU)静脉导管相关血流感染(CRBSI)的危险因素,为采取干预措施提供科学的政策依据。方法:对观察组67例CRBSI的危险因素进行回顾性分析,并采取干预措施;同期选择ICU静脉导管置管未发生CRBSI的患者作为对照组。结果:观察组导管留置时间长于对照组(P<0.05),置管部位与CRBSI发生差异无统计学意义(P>0.05)。结论:CRBSI的预防重点要尽可能避免置管或早期拔管,严格无菌操作,精通置管技术,加强日常监测和护理,避免交叉感染。Objective： To observe the risk factors of ICU catheter-related bloodstream infection（CRBSI） were observed,in order to provide scientific basis for interventions.Methods： The factors of 67 patients with CRBSI in observation group were retrospective analyzed,and had the intervention study.The other patients who were not infected in the corresponding period of catheterization in ICU were taken as control group.Results： The catheter indwelling time of the observation group was longer than the control group（P0.05）,there was no significantly difference between the position of catheterization and CRBSI incidence（P0.05）.Conclusion： Prevention will focus on avoiding catheterization and removing catheter as soon as possible.It is very important to master the technique of catheterization,follow strict aseptic operation,enhance daily care,isolate patients with drug resistance and avoid cross-infection.

关 键 词：重症监护病房 导管相关血流感染 危险因素 分析 

分 类 号：R63[医药卫生—外科学]