PICC导管相关感染及危险因素分析  

Analysis on Catheter-Related Infection and Risk Factors of PICC

作　　者：王慧[1] 蒋超英[1] 万海林[1] WANG Hui;JIANG Chao-ying;WAN Hai-lin(Taizhou Hospital of Zhejiang Province)

机构地区：[1]浙江省台州医院

出　　处：《医院管理论坛》2019年第12期52-54,共3页Hospital Management Forum

基　　金：台州市科技计划项目，编号：1801ky17

摘　　要：目的探讨PICC导管相关感染的发生率及其危险因素。方法对PICC置管的8490例患者进行回顾性调查,采用单因素分析法和多因素Logistic回归法分别筛选影响导管相关感染的危险因素。结果PICC置管患者导管相关感染率为1.02%;多因素分析结果显示,穿刺次数(OR=4.076)、穿刺方法选择不当(OR=3.575)、导管留置时间过长(OR=2.552)、导管未规范维护(OR=5.629)、PICC并发症(OR=3.241)、低蛋白血症(OR=2.959)为导管相关感染的危险因素。结论针对PICC导管相关感染的危险因素,采取预防和管理措施,能最大限度地降低导管相关感染的发生率。Objective To investigate the incidence and risk factors of PICC catheter-related infections.Methods A retrospective study was performed on 8490 patients with PICC catheterization.Univariate analysis and multivariate logistic regression were used to screen for risk factors affecting catheterrelated infections.Results The catheter-related infection rate was 1.02%in patients with PICC catheterization.The multi-factor analysis showed that the number of punctures(OR=4.076),improper puncture method(OR=3.575),long catheter indwelling time(OR=2.552),no normative maintenance of the catheterization(OR=5.629),PICC complications(OR=3.241),and hypoproteinemia(OR=2.959)were risk factors for catheter-related infections.Conclusion Prevention and management measures for the risk factors of PICC catheter-related infections can minimize the incidence of catheter-related infections.

关 键 词：外周静脉置入中心静脉导管 导管相关感染 危险因素 预防对策 

分 类 号：R197.3[医药卫生—卫生事业管理]