急诊观察病房中心静脉导管相关性感染分析及护理体会  

Analysis the related infections central venous catheter in emergency observation ward and its nursing experience

作　　者：陈英[1] 翟飞飞[1] 陆萍[1] 

机构地区：[1]苏州大学附属第四人民医院,214062

出　　处：《护理实践与研究》2011年第19期102-103,共2页Nursing Practice and Research

摘　　要：目的:分析急诊观察病房病人中心静脉导管相关感染因素及护理体会。方法:回顾性调查448例中心静脉置管病人导管相关性感染与导管留置静脉、导管留置时间、导管类型、病原学的关系。结果:448例病人中,导管培养阳性36例,分离出病原菌39株,其中革兰氏阳性菌18株,革兰氏阴性菌16株,真菌5株;发生导管局部定植26例,穿刺部位感染7例,菌血症3例。结论:急诊观察病房病人中心静脉导管感染与导管细菌定植等因素有关。正确选择导管留置静脉和导管类型;加强置管操作与护理;尽可能缩短导管留置时间;加强病人营养,提高免疫力,可降低导管感染率。Objective：To understand the emergency ward,observe with central venous catheter related infections and related experience in nursing.Methods：A retrospective survey of 448 patients were analyzed,cultivating catheter with indwelling catheter related infections,lien venous catheter time,type,etiology.Results：448 cases,positive catheter in 36 cases,isolated strains of pathogenic 39,gram-positive（18）,Gram-negative 16 cases,plants,5 strains.26 cases occurred catheter local engraftment,puncture infection7 cases,bacteremia 3 cases.Conclusion：The emergency ward,observe patients with central venous catheter infections catheter related to colonize bacteria.The correct choice catheter lien vein and catheter type.Strengthen catheter operation and nursing,as shorten time.The indwelling catheter strengthen nutrition,enhance immunity can reduce catheter infections.

关 键 词：急诊病房 中心静脉导管 感染 护理 

分 类 号：R473.5[医药卫生—护理学]