本文選題：中心靜脈置管 + 導(dǎo)管相關(guān)血流感染�。� 參考：《中國(guó)消毒學(xué)雜志》2017年06期

【摘要】：目的研究新生兒中心靜脈置管導(dǎo)管相關(guān)感染的發(fā)生情況及危險(xiǎn)因素。方法采用回顧性調(diào)查方法,對(duì)2008年12月-2011年12月某醫(yī)院新生兒重癥監(jiān)護(hù)室(NICU)臍靜脈置管(UVC)和經(jīng)外周中心靜脈置管(PICC)患兒的臨床資料進(jìn)行分析,分析導(dǎo)管相關(guān)性血流感染(CRBSI)的發(fā)生率和病原菌構(gòu)成,探討其危險(xiǎn)因素。結(jié)果582例靜脈置管患者發(fā)生CRBSI 37例,其中PICC組32例,感染率8.1%,為2.79‰導(dǎo)管日;UVC組5例,感染率2.7%,為3.9‰導(dǎo)管日。PICC組的主要致病菌為真菌、凝固酶陰性葡萄球菌和革蘭陰性桿菌,UVC組的主要致病菌為真菌和革蘭陽(yáng)性球菌。中心靜脈置管并發(fā)CRBSI的危險(xiǎn)因素為胎齡、出生體重、置管時(shí)間和多種侵入性操作。結(jié)論胎齡小、出生體質(zhì)量輕,中心靜脈置管時(shí)間長(zhǎng)及進(jìn)行多種侵入性操作可造成CRBSI感染率升高。
[Abstract]:Objective to study the incidence and risk factors of neonatal central venous catheterization associated infection. Methods the clinical data of children with umbilical vein catheterization (UVCC) and central venous catheterization (PICCC) in neonatal intensive care unit (NICU) of a hospital from December 2008 to December 2011 were analyzed retrospectively. The incidence and pathogenic bacteria composition of catheter-associated blood stream infection (CRBSIs) were analyzed and its risk factors were discussed. Results CRBSI was found in 37 patients with venous catheterization, including 32 cases in PICC group. The infection rate was 8.1%, 5 cases in 2.79 鈥，

本文編號(hào)：1889355