肿瘤患者中心静脉导管相关性感染的影响因素分析  

Influencing factors for central venous catheter-associated infections in tumor patients

作　　者：王云英[1,2] 吴琴[1,2] 黎丽琼[1,2] 黄姿英[1,2] 符容香[1,2] 邝燕珠 

机构地区：[1]海口市人民医院 [2]中南大学湘雅医学院附属海口医院肿瘤化疗血液科,海南海口570208

出　　处：《中华医院感染学杂志》2014年第18期4471-4472,4506,共3页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金资助项目(81170819)

摘　　要：目的调查肿瘤患者经外周静脉置入中心静脉导管(PICC)的导管相关性感染(CRI)影响因素分析及预防对策,以控制感染的发生。方法对临床150例肿瘤患者的PICC导管进行临床观察以及患者出院后的定期跟踪。结果 150例肿瘤患者留置导管发生12例CRI,感染率8.0%,感染因素包括患者身体状态、药物使用、护士操作、导管置留时间以及无菌环境等。结论 PICC导管的相关性感染率较高,与多种因素有关,应针对相关危险因素进行有效干预,以降低CRI的发生。OBJECTIVE To investigate the influencing factors for peripherally inserted central venous catheter （PICC ）-associated infections and put forward prevention countermeasures so as to control the infections . METHODS The clinical observation was carried out for 150 tumor patients who underwent the PICC ,and regularly tracking was conducted after the discharge .RESULTS Of the 150 tumor patients who underwent the catheter in-dwelling ,the CRI occurred in 12 cases with the infection rate of 8 .0% .The influencing factors for infections in-cluded the physical condition of the patients ,use of drugs ,nurse＆#39;s operation ,catheter indwelling time ,and sterile environment .CONCLUSION The incidence of PICC-associated infections is high ,which is associated with multiple factors ;it is necessary to take effective intervention measures in response to the related risk factors so as to reduce the incidence of CRI .

关 键 词：中心静脉导管 相关性感染 影响因素 预防对策 

分 类 号：R181.32[医药卫生—流行病学]