摘要
目的调查神经外科患者中心静脉导管相关性血流感染的危险因素,为制订有效的预防措施提供依据。方法选取行中心静脉导管置管的1 243例患者为研究对象,导管拔除后均进行导管培养及血培养。结果中心静脉导管相关性血流感染率为5.31%,日感染率为10.42‰。置管时间>7d、置管部位为股静脉或颈内静脉、输注静脉营养液、年龄≥50岁、置管者年资<5年、患者体质指数≥25.0、合并糖尿病、免疫功能低下将增加中心静脉导管相关性血流感染的发生率。结论缩短管道留置时间、尽量选择锁骨下静脉置管、避免长时间持续输注静脉营养液、加强置管者资格培训、增强患者免疫力可降低中心静脉导管相关性血流感染发生率。
Objective To investigate the risk factors of catheter - related blood - stream infection （CRBSI） in patients with central venous catheters in neurosurgical department,and to formulate effective preventive actions. Methods By convenience sampling, 1 243 patients with a central venous catheter were recruited in the study. Every catheter was bacterial cultured after removing, and blood was bacterial cultured. Results The rate of CRBSI was 5.31% , and cathe- ter days infection rate was 10.42‰. Catheter days 〉 7 days, catheter sites were femoral vein and jugular vein, injecting TPN, older than 50 years, doctors working less than 5 years, BMI ≥ 25.0, DM and immunologic function imperfection were risk factors. Conclusion Lower down the days of catheter stay, choosing subcla- vian vein,avoiding too much TPN, strengthening faculty training and immunologic function may reduce the incidence of CRBSI in patients with central renous cathetors in neurosurgieal department.
出处
《护理管理杂志》
2015年第12期884-886,共3页
Journal of Nursing Administration
关键词
中心静脉导管相关性血流感染
危险因素
神经外科
catheter - related blood - stream infection （ C RBSI）
risk factors
neurosurgery
