ICU与非ICU患者中心静脉导管感染调查

发布时间：2018-04-27 14:25

  本文选题：重症监护病房 + 普通病房　； 参考：《中华医院感染学杂志》2016年04期

【摘要】：目的比较ICU与非ICU住院患者中心静脉导管感染的状况,提出预防对策,以降低患者中心静脉导管感染率。方法选择2010年1月-2015年6月在医院ICU和非ICU行中心静脉导管的患者各200例,对疑有中心静脉导管感染的患者进行血液及中心静脉导管尖端培养,比较ICU和非ICU患者的中心静脉导管感染率、置管部位、置管类型及病原菌分布。结果 ICU和非ICU患者血液、中心静脉导管培养阳性率及导管细菌定植率比较差异均无统计学意义;普通导管和血液透析导管的感染率较高,分别为12.66%和6.67%,抗感染导管感染率为11.11%明显较低;颈内静脉置管患者中心静脉导管感染率较高为38.46%;ICU与非ICU患者病原菌检出分布差异无统计学意义;ICU与非ICU患者留置中心静脉导管1~7d的感染率9.00%,8~14d感染率为22.00%,≥15d感染率为35.00%,ICU与非ICU患者的置管时间比较差异无统计学意义。结论 ICU与非ICU患者的中心静脉导管感染发病情况基本相同:抗感染导管的感染率较低,颈内静脉置管的感染率较高,病原菌以革兰阳性菌为主。
[Abstract]:Objective to compare the status of central venous catheter infection in patients with ICU and non-ICU, and to put forward preventive measures to reduce the infection rate of central venous catheter. Methods from January 2010 to June 2015, 200 patients with central venous catheter were treated with central venous catheter in ICU and 200 patients with non-central venous catheter in hospital from January 2010 to June 2015. Blood and central venous catheter tip culture were performed in patients with suspected central venous catheter infection. The infection rate, catheterization site, type of catheterization and the distribution of pathogens in ICU and non-ICU patients were compared. Results there was no significant difference in the positive rate of blood, central venous catheter culture and bacterial colonization rate between ICU and non- patients, and the infection rate of common catheter and hemodialysis catheter was higher than that of normal catheter and hemodialysis catheter. The infection rate of anti-infective catheter was 11.11%, which was significantly lower than that of control group (12.66% and 6.67%, respectively). The infection rate of central venous catheter in patients with internal jugular vein catheterization was higher than that in ICU patients. There was no significant difference in the detection and distribution of pathogenic bacteria between ICU patients and non-ICU patients. The infection rate was 9.00814 days in ICU and non-ICU patients. The infection rate was 22.00 and 鈮，

本文编号：1811094