神经外科重症监护室侵入性导管感染发生情况分析及对策  

Countermeasures for invasive catheter infections in neurosurgical intensive care unit

作　　者：翟云霞[1] 张丹芬 贾琳[1] 

机构地区：[1]广州医科大学附属第二医院神经外科,广东广州510260

出　　处：《现代临床护理》2014年第6期12-14,共3页Modern Clinical Nursing

摘　　要：目的了解神经外科重症监护室侵入性导管感染发生情况,分析其感染特点,为制订预防感染措施提供理论依据。方法回顾性分析和总结本科室563例次留置侵入性导管患者的临床资料。结果 563例次留置侵入性导管中,发生导管感染106例次,发生率为18.8%。各管道感染发生率以尿管居高,发生率为24.5%;其次是硬膜外引流管,发生率为16.9%。病原菌主要为凝固酶阴性葡萄球球菌。结论提高医护人员对侵入性操作感染危害性的认识,操作时遵守各种导管的护理操作规程和加强各种管道护理,对降低侵入性导管感染发生率,确保患者的安全具有重要的作用。Objective To study the characteristics of invasive catheter infection in neurosurgery intensive care unit （NICU） to provide theoretical basis for the prevention of the infections.Method A retrospective analysis was done into the clinical data of 563 patients with indwelling catheter from January 2011 to December 2012 in our department.Results Among 563 cases undergoing invasive catheteration,there were 106 cases of catheter-associated infections with an incidence of 18.8%. The urinary catheter-associated infection was 24.5% and epidural drainage catheter-associated infection was 16.9%.Conclusion The enhanced consciousness of critical catheter infections,abiding by principles for aseptic operation and strengthened nursing to catheters or tubes are critical for reducing the incidence of invasive catheter-associated infections and ensuring the safety patients.

关 键 词：神经外科 监护室 导管 医院感染 

分 类 号：R473.6[医药卫生—护理学]