PICC置管新生儿发生导管相关性感染的影响因素  

Influencing factors of catheter-related infection in neonates with PICC

作　　者：刘阁 封洁 LIU Ge;FENG Jie(Department of Neonatology of Nanyang Central Hospital,Nanyang 473000 Henan,China)

机构地区：[1]南阳市中心医院新生儿科,河南南阳473000

出　　处：《中国民康医学》2022年第22期17-19,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨经外周静脉穿刺置入中心静脉导管(PICC)置管新生儿发生导管相关性感染的影响因素。方法:回顾性分析2017年1月至2021年4月该院收治的130例行PICC置管的新生儿的临床资料,统计PICC导管相关性感染发生率,根据是否发生PICC导管相关性感染分为感染组与未感染组,比较两组一般资料,并对PICC置管新生儿发生导管相关性感染的影响因素进行Logistic回归分析。结果:130例PICC置管患儿中,32例发生PICC导管相关性感染,发生率为24.62%(32/130);感染组胎龄<34周、出生体质量<2.0 kg、穿刺次数≥2次、置管时间≥2周、发生堵管、有其他侵入性操作占比均高于未感染组,差异有统计学意义(P<0.05);Logistic回归分析显示,胎龄<34周、出生体质量<2.0 kg、穿刺次数≥2次、置管时间≥2周、发生堵管、有其他侵入性操作是PICC置管新生儿发生导管相关性感染的独立危险因素(OR>1,P<0.05)。结论:胎龄<34周、出生体质量<2.0 kg、穿刺次数≥2次、置管时间≥2周、发生堵管、有其他侵入性操作是PICC置管新生儿发生导管相关性感染的独立危险因素。Objective:To explore influencing factors of catheter-related infection in neonates with peripherally inserted central venous catheter(PICC).Methods:The clinical data of 130 neonates with PICC admitted to the hospital from January 2017 to April 2021 were retrospectively analyzed.The incidence of PICC catheter-related infection was statistically analyzed.According to whether PICC catheter-related infection occurred,they were divided into infection group and non-infection group.The general data of the two groups were compared.Multivariate Logistic regression analysis was used to analyze the influencing factors of catheter-related infection in the neonates with PICC.Results:The PICC catheter-related infection occurred in 32 cases with an incidence of 4.62%(32/130).The proportions of gestational age<34 weeks,birth weight<2.0 kg,puncture times≥2 times,indwelling time≥2 weeks,catheter obstruction and other invasive operations in the infected group were higher than those in the uninfected group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that gestational age<34 weeks,birth weight<2.0 kg,puncture times≥2 times,indwelling time≥2 weeks,catheter obstruction and other invasive procedures were independent risk factors for the catheter-related infection in the neonates with PICC(OR>1,P<0.05).Conclusions:Gestational age<34 weeks,birth weight<2.0 kg,puncture times≥2 times,indwelling time≥2 weeks,catheter obstruction and other invasive procedures are the independent risk factors for the catheter-related infection in the neonates with PICC.

关 键 词：经外周静脉置入中心静脉导管 新生儿 感染 影响因素 胎龄 出生体质量 穿刺次数 置管时间 

分 类 号：R473.72[医药卫生—护理学]