ICU中心静脉导管的相关感染因素与护理

Analysis the yelevant infection factors of center venous catheter in ICU and its nusing

目的:探讨ICU中心静脉导管相关性感染的因素及护理措施。方法:回顾性分析我院ICU358例次中心静脉置管患者中32例导管相关感染病例,探讨其临床特点及危险因素与护理的关系。结果:股静脉置管感染率最高,颈静脉次之,锁骨下静脉穿刺最低;随着置管时间的延长,感染的发生率增加;应用单腔静脉导管感染的发生率低于双腔中心静脉导管;感染的病菌以革兰阳性菌为主。结论:重视无菌操作规范,加强穿刺局部皮肤消毒,尽可能的选用单腔导管,避免不必要的装置,缩短导管留置时间,加强护理操作人员的培训,可以有效减少导管相关感染的发生率。

Objective：To explore the ICU central venous catheter related infections of the clinical characteristics and nursing measures.Methods：A retrospective of our ICU 358 center venipuncture cases catheter related infections 32 cases.To investigate the clinical characteristics and risk factors and nursing.Results：It was showed that shares venipuncture,infection,the highest neck veins subclavian vein puncturing minimum,as of the extension of time,the increased incidence of infections,application of single lumen venous catheter infections lower incidence of double cavity central venous catheter,the infection with gram - positive bacteria. Conclusion： Pay attention to aseptic norms, strengthening local skin biopsy, selection of disinfection range single lumen catheter, avoid unnecessary other devices, shorten the time, strengthen the indwelling catheter operator training can effectively reduce the incidence of catheter related infections.