重症监护病房患者导管相关性感染的危险因素分析与预防措施

发布时间：2018-03-10 02:05

  本文选题：重症监护病房　切入点：导管置入　出处：《中华医院感染学杂志》2017年16期 　论文类型：期刊论文

【摘要】：目的研究重症监护病房患者导管相关性感染的危险因素及其临床防治措施,为临床治疗提供参考依据。方法选取2014年10月-2016年12月医院重症监护病房收治的695例采用留置导管的患者进行研究,分析重症监护病房住院患者导管相关性感染的发生情况,以及感染病原菌的分布和危险因素,并总结相应的防治措施。结果 695例患者中发生感染的患者共103例,感染率为14.82%;共检出病原菌154株,主以革兰阴性菌为主,共83株占53.90%;logistic多元回归分析显示,年龄≥60岁、急性生理与慢性健康评分(APACHEⅡ评分)≥17分、血清白蛋白含量30g/L、入住重症监护病房时间≥14d,导管留置时间≥7d,合并基础疾病均是患者发生导管相关性感染的独立危险因素(P0.05)。结论重症监护病房患者发生导管相关性感染的主要病原菌为革兰阴性菌,诱发患者发生感染的危险因素较多,临床治疗过程中应根据相应情况给予具体的防治措施以减少该类患者的感染。
[Abstract]:Objective to study the risk factors and clinical prevention and treatment of catheter-related infection in patients in intensive care unit (ICU). Methods from October 2014 to December 2016, 695 patients with indwelling catheter were selected to study the incidence of catheter-related infection in intensive care unit (ICU). The distribution and risk factors of pathogenic bacteria were also analyzed, and the corresponding preventive measures were summarized. Results 103 of 695 patients were infected, the infection rate was 14.82%, 154 strains of pathogenic bacteria were detected, mainly Gram-negative bacteria. Logistic multiple regression analysis of 83 strains (53.90%) showed that age 鈮，

本文编号：1591262