摘要
目的总结消化内科病房患者中心静脉置管导管相关性感染的发生率,分析其危险因素,并提出相应的防护措施。方法回顾性分析2008年1月-2012年12月消化内科964例行中心静脉置管患者的临床资料,探讨中心静脉导管感染的相关因素;采用统计软件SPSS17.0进行数据处理。结果消化内科964例行中心静脉置管患者发生中心静脉导管相关性感染82例,感染率8.51%;导管相关性感染率随着置管患者年龄的增大而增加,<40岁置管患者感染率为2.78%,>80岁老年患者导管相关性感染率明显升高为12.43%(P<0.01);中心静脉导管相关性感染与原发疾病有关:胰腺炎患者发生导管相关性感染率最高为15.63%,恶性肿瘤患者次之为10.82%,消化道出血患者感染率较低为4.55%;中心静脉导管留置时间<20d和>20d感染率分别为5.73%、17.32%,差异有统计学意义(P<0.01)。结论消化内科病房中心静脉导管相关性感染与患者的年龄、原发疾病、导管留置时间有关,在规范执行各项操作流程的同时,对这部分患者更要严格监控、做好无菌操作等,有利于进一步降低中心静脉导管相关性感染的发生。
OBJECTIVE To observe the incidence of central venous catheter-related infections in the wards of de- partment of gastroenterology and analyze the risk factors so as to put forward corresponding prevention measures. METHODS The clinical data of 964 patients who underwent the central venous catheterization in the department of gastroenterology from Jan 2008 to Dec 2012 were retrospectively analyzed, then the risk factors for the central ve- nous catheter-related infections were explored, and the data were statistically analyzed by using SPSS17. 0 soft- ware. RESULTS Of the 964 patients who underwent the central venous catheterization in the department of gastro- enterology, the central venous catheter-related infections occurred in 82 cases with the infection rate of 8.51% the incidence of the central venous-catheter-related infections increased with the age of the patients, the infection rate was 2.78% in the patients with less than 40 years of age, significantly increasing to 12.43% in the patients with more than 80 years of age （P〈0. 01）, The incidence of central venous catheter-related infections was associ- ated with the primary disease, the incidence of catheter-related infections was the highest in the patients with pan- ereatitis （15.63 %）, followed by the patients with malignant tumors （10.82 %） and the patients with gastrointes- tinal hemorrhage （4.55 %）. The incidence of infections was 5.73 % in the patients with the time of central venous catheter indwelling less than 20 days, 17.32% in the patients with the time more than 20 days, and there was sig- nificant difference （P〈0. 01）. CONCLUSION The incidence of the central venous catheter-related infections in the wards of department of gastroenterology is associated with the age, primary disease, and time of catheter indwell- ing. It is necessary to perform the standardized operation of procedures, rigidly monitor this group of patients, and execute the sterile operation so as to further reduce the incidence of the ＇central venou
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第13期3233-3234,3260,共3页
Chinese Journal of Nosocomiology
基金
浙江省中医药科技计划基金项目(2012ZB036)
关键词
中心静脉导管相关性感染
危险因素
防护措施
Central venous catheter-related infection
Risk factor
Prevention measure
