摘要
目的探索建立老年肿瘤患者经外周插管的中心静脉导管(peripherally inserted central catheter, PICC)长期留置非住院期间预防医源性感染和自身感染的有效措施. 方法对2003年1～4月放置PICC的18例老年肿瘤患者120次门诊换药进行连续性的观察;对不同时间、不同部位用咽拭子采样进行细菌培养、菌种鉴定. 结果规格为10cm×12cm 的3M透明敷料有效覆盖期为7 d,敷料周围皮肤经采样培养有条件致病菌生长. 结论合理的换药时间、标准化的操作程序、严格遵守自我防护可有效的避免老年肿瘤患者PICC医院外携管期间感染的发生.
OBJECTIVE To probe into effective measures to prevent the aged cancer sufferers,who had peripherally inserted central catheter(PICC)in them for a long period of time,from being hospital-infected or self-infected when they were not in hospital. METHODS Eighteen aged cancer sufferers,who were catheterized with PICC from Jan to Apr in 2003,were continuously observed for 120 times when they came to change dressings in the outpatient department. Samples were taken with throat swabs from different parts and at different times to culture bacteria and then identify them. RESULTS The covering period of validity of 3M transparent dressing (10cm×12cm)was 7 days ,and culturing sample it could be seen that on the skin around dressing there were conditions for bacteria to grow. CONCLUSIONS Reasonable time for changing dressing,standardized operating procedure and strict self-protection can effectively prevent the aged cancer sufferers with PICC from being infected when they are not in hospital.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2005年第6期640-642,共3页
Chinese Journal of Nosocomiology
关键词
肿瘤
中心静脉导管
细菌感染
预防
Cancer
Central catheter
Bacterial infection
Prevention
