40例血管相关性感染的调查分析与对策

Infection Related to Deep Venous Cannulation:A Report of 40 Cases and Their Investigation and Strategy

目的探讨血管相关性感染的临床特点,分析其危险因素,为有效控制血管相关性感染的发生提供可靠依据。方法利用前瞻性和回顾性调查的方法 ,对医院2008年1-12月发生的血管相关性感染患者进行统计分析。结果 40例血管相关性感染中,最常见的病原菌是大肠埃希菌占27.28%,表皮葡萄球菌占24.24%;〉70岁的老年患者、梅雨季节、抗菌药物的不合理使用、侵入性操作、静脉营养是血管相关性感染的易感因素。结论熟练掌握置管技术,严格遵守操作规程,做好置管后的护理,严格营养液的配制,合理用药,加强手卫生和医院感染的监测是预防与控制血管相关性感染的有效方法 。

OBJECTIVE To study the clinical characteristics and risk factors of deep venous cannulation for control and therapoutic measures.METHODS The clinical data of 40 cases from Jan to Dec 2008 about infection of deep venous cannulation were prospectively and retrospectively analyzed.RESULTS In 40 cases with the infection of deep venous cannulation,the common pathogenic bacteria were Escherichia coli（27.28%） and Staphylococcus epidermidis（24.24%）.Risk factors of deep venous cannulation infection were age that over 70,plum rain seasons,antibiotics abuse,invasiveness operation and intravenous nutrition.CONCLUSIONS Modus operandi of central venous catheter technology is on top of prevention and control of deep venous cannulation infection,the other measures also include strictly obeying the operation rules,nursing after central venous catheter,strictly preparating the nutrition solutions,rationally administrating,and streng thening the monitoring the hands hygiene and hospital infections.