本文關(guān)鍵詞：血液凈化患者導(dǎo)管相關(guān)性感染的危險因素及預(yù)防措施分析　出處：《中華醫(yī)院感染學(xué)雜志》2017年21期 　論文類型：期刊論文

  更多相關(guān)文章： 血液凈化 導(dǎo)管相關(guān)性感染 危險因素 預(yù)防措施

【摘要】：目的探究血液凈化患者導(dǎo)管相關(guān)性感染的危險因素及預(yù)防措施。方法選取于2014年12月-2016年12月醫(yī)院收治的120例血液凈化患者作為本次研究對象,所有患者均為中心靜脈置管,置管方式為鎖骨下靜脈、頸內(nèi)靜脈或股靜脈置管,收集所有患者詳細(xì)資料,觀察患者是否發(fā)生導(dǎo)管感染,將感染患者導(dǎo)管血培養(yǎng)并進行病原菌分析,統(tǒng)計感染率,對可能引發(fā)導(dǎo)管相關(guān)性感染的危險因素進行統(tǒng)計分析。結(jié)果本次120例血液凈化患者中,共22例發(fā)生導(dǎo)管相關(guān)性感染,感染率18.33%;檢出病原菌22株其中革蘭陽性菌為14株,以表皮葡萄球菌占27.27%為主;革蘭陰性菌7株,以銅綠假單胞菌占13.63%為主;真菌1株,占4.55%;年齡65歲、穿刺≥2次、留置導(dǎo)管時間≥4周、有侵入性操作史、血清白蛋白≤35g/L、血紅蛋白≤90g/L、醫(yī)護人員插管技術(shù)低、住院時間≥2周、未使用抗菌藥物治療及合并糖尿病等基礎(chǔ)疾病是誘發(fā)血液凈化患者發(fā)生導(dǎo)管相關(guān)性感染的高危影響因素。結(jié)論誘發(fā)血液凈化患者發(fā)生導(dǎo)管相關(guān)性感染的危險因素較多,應(yīng)堅持嚴(yán)格無菌操作原則,對有高危因素的患者預(yù)先采取針對性措施,合理使用抗菌藥物。
[Abstract]:Objective to explore the risk factors and preventive measures of catheter-related infection in patients with blood purification. Methods 120 patients with blood purification were selected from December 2014 to December 2016 as the study. The object. All the patients were catheterized by central vein, the way of catheterization was subclavian vein, internal jugular vein or femoral vein. The detailed data of all patients were collected to observe whether catheterization occurred. The blood samples of infected patients were cultured and the pathogenic bacteria were analyzed, the infection rate was counted, and the risk factors that might lead to catheter-related infection were statistically analyzed. Results in this 120 cases of blood purification, the risk factors were analyzed. There were 22 cases of catheter-related infection, the infection rate was 18.33%. Of 22 strains of pathogenic bacteria, 14 were Gram-positive, and 27.27% were Staphylococcus epidermidis. Among 7 Gram-negative strains, 13.63% were Pseudomonas aeruginosa. 1 strain of fungi (4.55%); Age 65 years, puncture 鈮，

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