摘要
目的探讨外科术后患者中心静脉导管相关性感染(CVC-RI)的危险因素及预防对策,为进一步降低血流感染发生率提供依据。方法对医院2008年6月～2009年5月外科术后患者中发生CVC-RI的18例病例进行回顾性分析。结果发生术后中心静脉导管相关性感染危险因素包括:年龄、导管留置时间、置管技术质量、全胃肠外营养(TPN)治疗时间、入住ICU。结论外科术后患者CVC-RI的发生与上述危险因素有关,医院应建立CVC-RI的预防指引,建立操作资格准入制度,健全质量监管体系,以降低CVC-RI发生率,提高中心静脉置管输液护理的安全性。
OBJECTIVE To explore the risk factors and prevention measures of postoperative patients with central venous catheter-related infection（CVC-RI）,so as to provide evidence for the reducing incidence of bloodstream infection.METHODS From Jun 2008 to May 2009,18 CVC-RI cases in Zhejiang Provincial People′s Hospital were retrospectively analyzed.RESULTS The risk factors with statistic significance included tube detaining time,quality of catheterization,duration of total parenteral nutrition（TPN） and experience of ICU staying.CONCLUSIONS The above factors have the relation to the incidence of CVC-RI postoperatively.To ensure the nursing security of central venous catheterization,It is suggested to establish the prevention guidance for CVC-RI,build an access system of operative qualification and improve the system quality of supervision and management.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第6期793-794,共2页
Chinese Journal of Nosocomiology
关键词
外科术后
留置导管
中心静脉
医院感染
对策
Postoperation
Indwelling catheter
Central vein
Nosocomial infection
Strategy
