2019—2021年北京市昌平区医院内科重症监护病房导管相关血流感染患者病原菌与危险因素调查分析  

Investigation and Analysis of Pathogens and Risk Factors in Patients with Catheter related Blood Stream Infection in the Internal Intensive Care Unit of Changping District Hospital in Beijing from 2019 to 2021

作　　者：盛名[1] 郭爽[1] 王敬文[1] Sheng Ming;Guo Shuang;Wang Jingwen(Department of Internal Medicine Intensive Care Unit,Beijing Changping District Hospital,Beijing 102200,China)

机构地区：[1]北京市昌平区医院内科重症监护病房,北京102200

出　　处：《中外医药研究》2023年第14期151-153,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨2019—2021年北京市昌平区医院内科重症监护病房导管相关血流感染(CRBSI)患者的病原菌与危险因素。方法:选取2019年1月—2021年12月北京市昌平区医院内科重症监护病房住院患者632例为观察对象,分析CRBSI发生率、病原菌及危险因素。结果:632例患者留置中心静脉导管,有创动脉置管及中长管593例(非CRBSI组),发生CRBSI 39例(CRBSI组);两组患者入院急性生理与慢性健康评分(APACHEⅡ)、器官功能衰竭(SOFA)评分、重症监护室住院时间比较有明显差异(P<0.05)。在CRBSI组中,共分离到病原菌54株。二分类Logistic回归分析显示,重症监护病房住院时间、SOFA评分、APACHEⅡ评分为导致医院血流感染发生的重要因素(P<0.001)。结论:SOFA评分、重症监护病房住院时间、APAECHⅡ评分是导致医院CRBSI发生的重要危险因素。Objective:To investigate the pathogenic bacteria and risk factors in patients with catheter related blood stream infection(CRBSI)in the internal medicine intensive care unit of Beijing Changping District Hospital from 2019 to 2021.Methods:A total of six hundred and thirty two inpatients in the department of internal medicine intensive care unit of Beijing Changping District Hospital from January 2019 to December 2021 were selected as the observation objects to analyze the incidence,pathogenic bacteria and risk factors of CRBSI.Results:There were 632 patients with indwelling central venous catheters,593 patients(non-CRBSI group)with invasive arterial catheterization and 39 patients(CRBSI group)with CRBSI;There were significant differences in acute physiological and chronic health scores(APACHEⅡ),organ failure(SOFA)scores and length of stay in intensive care unit between the two groups(P<0.05);In CRBSI group,54 strains of pathogenic bacteria were isolated;Binary Logistic regression analysis showed that length of stay in intensive care unit,SOFA score and APACHEⅡscore were important factors leading to blood stream infection(P<0.001).Conclusion:SOFA score,length of stay in intensive care unit and APAECH II score were important risk factors for CRBSI in hospital.

关 键 词：导管相关血流感染 病原菌 危险因素 

分 类 号：R47[医药卫生—护理学]