ICU患者导管相关性感染危险因素logistic回归分析与预防措施

发布时间：2018-05-30 19:23

  本文选题：重症监护病房 + 导管相关性感染　； 参考：《中华医院感染学杂志》2016年05期

【摘要】：目的探讨重症监护病房(ICU)住院患者发生导管相关性感染的病原菌分布与危险因素分析,为降低ICU导管相关性感染率提供依据。方法回顾性分析2012年9月-2015年8月医院入住ICU的2 000例患者,分析ICU住院患者导管相关性感染病原菌分布特点及相关危险因素,采用SPSS 16.0软件进行统计分析。结果 2 000例ICU患者发生导管相关性感染73例,发生率为3.65%,共检出病原菌116株,检出革兰阴性菌、革兰阳性菌、真菌分别占57.76%、37.07%、5.17%;单因素分析显示,ICU患者年龄≥65岁、APACHEⅡ评分≥17分、ICU住院时间≥14d、血清白蛋白含量30g/L、留置时间≥1周等是发生导管相关性感染的危险因素(P0.05);经logistic回归分析发现,年龄≥65岁、APACHEⅡ评分≥17分、ICU住院时间≥14d、血清白蛋白含量30g/L、留置时间≥1周是ICU患者发生导管相关性感染的独立危险因素(P0.05)。结论 ICU住院患者导管相关性感染病原菌主要为革兰阴性菌,感染相关危险因素较多,应采取相应预防措施。
[Abstract]:Objective to investigate the distribution and risk factors of catheter-related infection in inpatients with ICU in intensive care unit (ICU). Methods A retrospective analysis was made of 2 000 patients admitted to ICU from September 2012 to August 2015. The distribution of pathogenic bacteria and related risk factors of catheter-related infection in ICU inpatients were analyzed. SPSS 16.0 software was used for statistical analysis. Results 73 cases (3.65%) of catheter-associated infection were found in 2 000 patients with ICU. 116 strains of pathogenic bacteria were detected, gram-negative bacteria and gram-positive bacteria were detected. The single factor analysis showed that the age 鈮，

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