新生儿中心静脉置管导管相关感染的临床研究

发布时间：2018-05-14 20:29

  本文选题：中心静脉置管 + 导管相关血流感染　； 参考：《中国消毒学杂志》2017年06期

【摘要】：目的研究新生儿中心静脉置管导管相关感染的发生情况及危险因素。方法采用回顾性调查方法,对2008年12月-2011年12月某医院新生儿重症监护室(NICU)脐静脉置管(UVC)和经外周中心静脉置管(PICC)患儿的临床资料进行分析,分析导管相关性血流感染(CRBSI)的发生率和病原菌构成,探讨其危险因素。结果582例静脉置管患者发生CRBSI 37例,其中PICC组32例,感染率8.1%,为2.79‰导管日;UVC组5例,感染率2.7%,为3.9‰导管日。PICC组的主要致病菌为真菌、凝固酶阴性葡萄球菌和革兰阴性杆菌,UVC组的主要致病菌为真菌和革兰阳性球菌。中心静脉置管并发CRBSI的危险因素为胎龄、出生体重、置管时间和多种侵入性操作。结论胎龄小、出生体质量轻,中心静脉置管时间长及进行多种侵入性操作可造成CRBSI感染率升高。
[Abstract]:Objective to study the incidence and risk factors of neonatal central venous catheterization associated infection. Methods the clinical data of children with umbilical vein catheterization (UVCC) and central venous catheterization (PICCC) in neonatal intensive care unit (NICU) of a hospital from December 2008 to December 2011 were analyzed retrospectively. The incidence and pathogenic bacteria composition of catheter-associated blood stream infection (CRBSIs) were analyzed and its risk factors were discussed. Results CRBSI was found in 37 patients with venous catheterization, including 32 cases in PICC group. The infection rate was 8.1%, 5 cases in 2.79 鈥，

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