9例极低出生体重儿PICC导管相关感染的观察及护理

Observation and nursing of 9 very low birth weight infants with PICC catheter-related infections

总结了9例极低出生体重儿发生导管相关感染的护理体会。在132例留置PICC的极低出生体重儿中,9例发生导管相关感染。其中3例导管尖端及血细菌培养均为阳性,2例仅血细菌培养为阳性,4例导管尖端和血培养均为阴性。1例家长放弃治疗,8例治愈。高度关注极低出生体重儿出现的每一个感染征兆,及早采取有效治疗和护理措施,是控制感染的关键。

This paper summarizes the nursing experience of 9 very low birth weight infants with catheter-related infections. Among the 132 very low birth weight infants with PICC,9 cases suffered from catheter-related infections. Three cases showed positive results on the germieuhure of catheter tip and blood,two cases showed positive result only on the germicuhure of blood ,and four cases showed negative results on both germieulture of catheter tip and blood. One infant＇s parent gave up the treatment and eight cases were cured. It is suggested that closely monitoring the signs of infections and taking effective treatment and nursing care as early as possible were the key points of infection control.