中心静脉导管相关性败血症病原菌的临床分析及处理  

Clinical Analysis and Treatment of Central Venous Catheterrelated Septicemia

作　　者：夏俊 XIA Jun(integrated Traditional Chinese and Western Medicine Department, The 3^rd Hospital ofWuhan, Wuhan Hubei 430060, Chin)

机构地区：[1]武汉市三医院中西医结合科,湖北武汉430060

出　　处：《中国继续医学教育》2017年第9期73-75,共3页China Continuing Medical Education

摘　　要：目的探讨中心静脉导管相关性败血症(CRS)患者病原菌的特点和耐药性。方法选取我院2015年12月—2016年12月60例CRS患者,并对患者的静脉导管尖端进行培养和药敏实验。结果 CRS常见的致病菌为革兰阳性菌(67.3%),真菌(19.2%),革兰阴性菌(13.5%)。革兰氏阳性菌对万古霉素的敏感性高,革兰氏阴性菌对亚胺培南的敏感性高。结论中心静脉导管相关性败血症患者中的病原菌主要为革兰氏阳性菌,通过减少中心静脉导管的置管时间可以有效的预防感染。Objective To investigate the characteristics and drug resistance of pathogenic bacteria in patients with central venous catheter-related sepsis （CRS）. Methods 60 patients with CRS were enrolled in this study from December 2015 to December 2016, and the patients were treated with intravenous catheterization and drug sensitivity test. Results The common pathogens of CRS were Gram-positive bacteria （67.3%）, Fungi （19.2%） and Gram-negative bacteria （13.5%）. Gram-positive bacteria have high sensitivity to vancomycin, and gram-negative bacteria are highly sensitive to imipenem. Conclusion Pathogenic bacteria in patients with central venous catheter-related sepsis are mainly Gram-positive bacteria, which can be effectively prevented by reducing the catheterization time of central venous catheters.

关 键 词：中心静脉导管相关性败血症 病原菌 临床分析 

分 类 号：R515[医药卫生—内科学]