小儿急诊输液室留置针静脉输液相关性感染的危险因素分析与护理措施  

Analysis of risk factors and nursing measures of infection related to intravenous infusion of indwelling needle in children's emergency infusion room

作　　者：殷秀云 张美苑 李秋媚[1] YIN Xiu-yun;ZHANG Mei-yuan;LI Qiu-mei

机构地区：[1]深圳市龙岗区妇幼保健院急诊科,深圳市518172

出　　处：《护理实践与研究》2018年第23期141-143,共3页Nursing Practice and Research

摘　　要：目的分析小儿急诊输液室留置针静脉输液相关性感染的危险因素以及护理干预措施。方法回顾性分析2017年5月至2018年3月我院急诊输液室进行留置针静脉输液治疗的500例患儿的临床资料,统计留置针静脉输液相关性感染的发生率,观察病原菌分布以及构成比,对留置针静脉输液相关性感染的高危因素进行统计分析。结果 500例患儿中,发生留置针静脉输液相关性感染68例,发生率为13. 60%;68例患儿中共检出病原菌68株,革兰阳性球菌、革兰阴性球菌、真菌分别占54. 41%、32. 35%和13. 24%;多因素logistic回归分析结果显示,留置时间≥7 d为影响小儿急诊输液室留置针静脉输液相关性感染发生的独立危险因素(P <0. 05)。结论留置时间是小儿急诊输液室留置针静脉输液相关性感染的主要危险因素,应缩短静脉留置针的留置时间,实施急诊输液室环境消毒、留置部位皮肤观察等综合护理干预,以减少留置针静脉输液相关性感染的发生。Objective To analyze the risk factors and nursing intervention measures of infection related to intravenous infusion of indwelling needle in children g emergency infusion room. Methods To observe the distribution and composition of pathogens, clinical data of 500 cases of children who were treated with indwelling needle intravenous infusion in the emergency infusion room of our hospital from May 2017 to March 2018 were retrospectively analyzed. The incidence rate of indwelling needle intravenous infusion related infection was statistically collected, and the risk factors of indwelling needle in- travenous infusion related infection were statistically analyzed. Results Among the 500 children, 68 cases of indwelling needle intravenous infusion related infection occurred, with an incidence of 13.60%. 68 strains of pathogens were detected in 68 children, among which 54.41% , 32.35% and 13.24% were gram - positive, gram - negative and fungal, respectively. The results of nmhivariate logistic regression analysis showed that the indwelling time ≥7 d days was an independent risk factor for the occurrence of indwelling needle intravenous infusion related infection in ehildren＇s emergency infusion room（P 〈 0.05）. Conclusion Indwelling time was the main risk factor for indwelling needle intravenous infusion related infection in children＇s emergency infusion room, which should be shortened and combined with the implementation of comprehensive intervention such as enviromnental disinfection in emergency infusion room and skin observation of indwelling site to reduce the incidence of indwelling needle intravenous infusion related infection.

关 键 词：急诊输液室 患儿 留置针静脉输液 相关性感染 危险因素 护理 

分 类 号：R473.72[医药卫生—护理学]