经外周中心静脉置管感染的相关因素分析及干预措施  

Analysis on the related factors of peripherally inserted central catheter infections and intervention measures

作　　者：焦英华[1] 郑珊红[1] 和晓美 郭爱萍[1] 

机构地区：[1]泰安市肿瘤防治院放疗科,山东泰安271000

出　　处：《中华医院感染学杂志》2013年第17期4134-4136,共3页Chinese Journal of Nosocomiology

基　　金：泰安市科学技术发展计划项目(20113090)

摘　　要：目的研究分析经外周中心静脉置管(PICC)发生感染的相关因素及干预对策,以降低感染发生率。方法回顾性分析2008年1月-2012年10月入院进行PICC置管的621例患者临床资料,研究分析其感染的原因及干预对策。结果导致PICC置管感染的显著相关因素有化疗次数、患者年龄、合并糖尿病、置管留置时间>6个月、静脉滴注液体类型;75例患者分离的92株病原菌中,革兰阳性球菌占41.30%、革兰阳性杆菌占2.17%,革兰阴性杆菌占35.87%、真菌占20.66%。结论 PICC置管发生感染与多种因素关系密切,临床应针对性地采取相应的干预措施,从而有效控制感染的发生,提高患者的治疗安全性。OBJECTIVE To study the related factors of PICC infections and intervention measures and reduce the incidence of infections. METHODS A retrospective analysis on the clinical data of 621 patients for PICC managementenrolled from Jan 2008 to Oct 2012 was performed to study the causes of infection and the intervention measures.RESULTS The significantly correlated factors that caused PICC infections were frequency of chemotherapy,age ofpatients, patients with diabetes mellitus,catheter retention time more than 6 months and types of intravenousdripping liquid; among 92 strains of pathogens isolated from 75 patients,gram-positive coccus accounted for41.30% ？ gram-positive bacilli accounted for 2. 17%,gram-positive bacilli accounted for 35. 87% and fungi accounted for 20. 66%. CONCLUSION PICC infection is closely correlated to a number of factors. The appropriateintervention measures should be taken clinically to effectively control the occurrence of infections and enhance thetreatment safety of patients.

关 键 词：经外周中心静脉置管 感染 相关因素 干预对策 

分 类 号：R181.32[医药卫生—流行病学]