本文選題：重癥監(jiān)護病房 + 導(dǎo)管相關(guān)性血流感染�。� 參考：《中華醫(yī)院感染學(xué)雜志》2017年12期

【摘要】：目的調(diào)查徐州地區(qū)綜合重癥監(jiān)護病房(ICU)導(dǎo)管相關(guān)性血流感染(CRBSI)的流行病學(xué)和病原學(xué)相關(guān)情況,分析其變化趨勢和特征,為防控工作提供依據(jù)。方法對2010年-2014年徐州市23家醫(yī)院ICU留置中心靜脈導(dǎo)管(CL)的患者相關(guān)情況進行調(diào)查,并對其發(fā)生CRBSI的流行病學(xué)特征、相關(guān)危險因素及病原菌分布情況等進行統(tǒng)計分析。結(jié)果本研究共納入4036例CL置管的患者,總CL使用率為43.27%,CRBSI千日感染率為2.05‰。CRBSI的發(fā)生與年齡、性別、插管者、置管地點、置管部位和導(dǎo)管腔數(shù)等因素之間均存在相關(guān)性(P0.05)。CRBSI患者血培養(yǎng)中共檢出261株病原菌,其中革蘭陽性菌116株(44.44%),革蘭陰性菌125株(47.89%),真菌20株(7.66%),檢出耐藥菌株為52株(19.92%)。結(jié)論 ICU的CRBSI感染率與多種因素密切相關(guān),且耐藥菌株檢出率的增高,應(yīng)根據(jù)CRBSI監(jiān)測過程中出現(xiàn)的重點問題制定有效的防控措施,向CRBSI的"零容忍"目標(biāo)努力。
[Abstract]:Objective to investigate the epidemiological and pathogenic factors related to catheter related blood flow infection (CRBSI) in the integrated intensive care unit (ICU) in Xuzhou, and to analyze its change trend and characteristics, and to provide the basis for prevention and control. Methods the related cases of cardiac venous catheter (CL) in 23 hospitals in Xuzhou in 2010 were investigated, and the related cases of cardiac venous catheter (CL) were investigated in 23 hospitals in Xuzhou City, 2010, and The epidemiological characteristics of CRBSI, related risk factors and distribution of pathogenic bacteria were analyzed. Results this study included 4036 cases of CL catheterization, total CL use rate of 43.27%, CRBSI 1000 day infection rate of 2.05 per thousand.CRBSI and age, sex, intubation, location of intubation, location of catheterization and number of catheter cavities. 261 strains of pathogenic bacteria were detected in the blood culture of.CRBSI patients (P0.05), of which 116 strains of Gram-positive bacteria (44.44%), 125 Gram-negative bacteria (47.89%), 20 fungi (7.66%), and 52 resistant strains (19.92%). Conclusion the infection rate of ICU was closely related to a variety of factors, and the detection rate of drug-resistant strains increased, which should be based on C RBSI key issues in the monitoring process, formulate effective prevention and control measures, and strive to CRBSI's "zero tolerance" goal.

【作者單位】： 徐州醫(yī)科大學(xué)護理學(xué)院;徐州醫(yī)科大學(xué)附屬醫(yī)院感染管理科;鹽城市第一人民醫(yī)院感染管理科;徐州市第一人民醫(yī)院感染管理科;
【基金】：江蘇省衛(wèi)生計生委預(yù)防醫(yī)學(xué)科研基金資助項目(Y2015067)
【分類號】：R181.3;R51
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本文編號：1803335