| 刘冰,刘鹏飞.ICU中心静脉导管相关性血流感染的危险因素及对策[J].济宁医学院学报,2015,(3):211-213 |
| ICU中心静脉导管相关性血流感染的危险因素及对策 |
| Risk factors and nursing countermeasures of catheter related bloodstream infections in intensive care unit |
| 投稿时间：2015-04-29 |
| DOI：10.3969/j.issn.1000-9760.2015.03.018 |
| 中文关键词: 中心静脉导管;感染;危险因素 |
| 英文关键词: Central venous catheters;Infection;Risk factors |
| 基金项目: |
| 作者 | 单位 | | 刘冰 | 济宁医学院护理学院, 山东济宁 272067 | | 刘鹏飞 | 济宁医学院护理学院, 山东济宁 272067 |
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| 中文摘要: |
| 目的 研究重症医学科(ICU)中心静脉导管相关性血流感染(CRBSI)的相关危险因素。根据危险因素制定护理对策,为CRBSI的预防提供依据。方法 以2014年9月-2014年12月入住济宁医学院附属医院ICU的103例留置中心静脉导管的患者为研究对象,单因素分析采用X2检验,然后选择有统计学意义的危险因素进行非条件Logistic回归分析,统计CRBSI发生率,观察病原学特征。结果 103例患者中14例发生CRBSI,发生率为13.59%。共培养出病原菌14株,其中革兰阳性球菌8株,占57.14%。革兰阴性杆菌3株,占21.43%。真菌3株,占21.43%。长期置管、使用多腔导管是CRBSI发生的主要危险因素。结论 应加强对CRBSI危险因素的控制,尽量使用单腔导管,缩短留置时间,以预防感染的发生。 |
| 英文摘要: |
| Objective To explore the risk factors of catheter related bloodstream infections(CRBSI) in intensive care unit (ICU),put forward countermeasures in response to risk factors so as to provide guidance for prevention of the CRBSI.Methods A total of 103 patients with central venous catheters from sep.2014 to Dec.2014 in ICU of Jining medical college affiliated hospital were recruited in the study,then monovariable Chi-square test and non-conditional multivariate logistic regression analysis were performed,the incidence of CRBSI were taken for statistics,and the etiological characteristic were observed.Results 14 of them suffered from CRBSI, the overall incidence rate of CRBSI was 13.59%,including 8G+(57.14%),3G-(21.43%),3fungi(21.43%).Longer catheter indwelling time,Multi-cavity catheter were major risk factors of CRBSI.Conclusion It is necessary to control Risk Factors of CRBSI,use single lumen catheters and shorten the time of catheter indwelling, in order to prevent CRBSI. |
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