中央导管置管患者血流感染现状分析及对策  

Status analysis and countermeasure of bloodstream infection in 25 cases with central venous catheterization

作　　者：张涵[1] 张丽红[2] 黎宏[2] 王润蕾[3] 游红勇[4] Zhang Han;Zhang Lihong;Li Hong;Wang Runlei;You Hongyong(People＇s Hospital of Chongahou City,Anesthesiology Department Chongzhou,Sichuan,611230;People＇s Hospital of Chongzhou City,ICU,Chongzhou,Sichuan,611230;People＇s Hospital of Chongzhou City,Nephrology Department Chongzhou,Sichuan,611230;People＇s Hospital of Chongzhou City,General Surgery Department Chongzhou,Sichuan,611230)

机构地区：[1]崇州市人民医院麻醉科,四川崇州611230 [2]崇州市人民医院ICU,四川崇州611230 [3]崇州市人民医院肾内科,四川崇州611230 [4]崇州市人民医院普外科,四川崇州611230

出　　处：《医药前沿》2018年第17期12-14,共3页Journal of Frontiers of Medicine

摘　　要：目的：分析25例中央导管置管患者血流感染现状。方法：选取2014年7月-2016年6月我院收的25例发生导管相关性血流感染患者，统计血流感染诱发因素。结果：全程住院维护引起的导管相关性血流感染几率（4．00％）低于其他维护方式患者（P〈0．05）；革兰阳性菌诱发的感染率（52．00％）高于其他病原菌（P〈0．05）：置管时间〉7天患者感染率（96．00％）高于置管时间〈7天患者（P〈0．05）；PICC导管引起的感染几率（48．00％）高于其他置管部位患者（P〈0．05）。结论：导致导管相关性血流感染的因素包括置管时间、置管位置、病原菌、维护方法，对此还需加强相关护理干预，从而降低感染率。Objective To investigate the status analysis and countermeasure of bloodstream infection in 25 cases with central venous catheterization. Methods 25 cases with CRBSI in our hospital from July 2014 to June 2016 were selected and retrospectively analyzed, study the inducing factor of bloodstream infection and then give corresponding countermeasure. Results CRBSI rate caused by whole course maintenance （4.00%） was lower than other maintenance methods （P〈0.05）; infection rate induced by gram positive bacteria （52.00%） was higher than other pathogenic bacteria （P〈0.05）; infection rate of patients with intubation time 〉7 days （96.00%） was higher than those with intubation time 〈7 days （P〈0.05）; infection rate induced by PICC catheter （48.00%） was higher than other catheterization sites （P〈0.05）. Conclusion Factors that cause CRBSI include intubation time, intubation position, pathogenic bacteria and maintenance method, related nursing intervention should be strengthened, in order to reduce the infection rate.

关 键 词：中央导管置管 血流感染 现状分析 对策 

分 类 号：R473.5[医药卫生—护理学]