经皮中心静脉置管的感染状况分析

Analysis of Infections of Percutaneous Central Venous Catheterization

目的:观察经皮中心静脉置管后发生导管相关性感染(CRI)的情况,寻找可能导致感染的因素。方法:回顾性分析178例经皮中心静脉置管患者的临床资料。结果:CRI的发生率为4.5%,低于我院平均医院感染率(5%),主要病原菌以金黄色葡萄球菌为主,感染的发生与置管持续时间,患者的免疫水平,无菌操作,长期静脉高营养药物的使用有关。结论:应重视中心静脉置管术导管相关性感染。

Objective： To observe the catheter-related infection（CRI） events after percutaneous central venous catheterization, and search for the causative factors. Methods： Clinical data of 178 cases with percutaneous central venous catheterization were analyzed retrospectively. Results： The incidence of CRI （4. 5%） was lower than the average nosocomial infection rate （5 %）. The main pathogens were staphylococcus aureus. The occurrence of infection was closely related to the duration of catheterization, patient＇s immune function, aseptic manipulation and long-term total parental nutrition. Conclusion： Central venous catheter-related infection must be paid attention.