严重创伤患者中心静脉插管相关性感染因素的分析与对策

Risk factors for central venous catheter-related infections in patients with severe trauma and countermeasures

目的对严重创伤患者中心静脉插管相关性感染因素进行分析,为制定预防治疗对策、降低感染的发生提供依据。方法对医院2009年1-12月及2010年1-12月中心静脉插管感染患者进行随访监测,并对监测结果进行统计分析。结果 2010年开始目标监测并实施一系列干预措施后,感染发生率由2009年的11.9%下降至2010年的5.4%;无菌操作不严格、不重视插管的护理、患者免疫力下降等是引起中心静脉插管相关性感染的主要原因。结论针对严重创伤患者中心静脉插管的感染相关性因素,采取相应的干预措施,可明显减少中心静脉插管相关性感染的发生。

OBJECTIVE To discuss the risk factors for the central venous catheter-related infections in patients with severe trauma so as to provide basis for developing treatment measures of infections.METHODS A follow-up surveillance was carried out for the patients with central venous catheter-related infections from Jan.to Dec.2009 and from Jan.to Dec.2010,statistical analysis of surveillance result was performed.RESULTS The major risk factors for central venous catheter-related infections included poor sterile operation,did not pay attention to intubation care,decrease in immunity and so on.After implementing targeted monitoring and a series of intervention measures,the incidence of central venous catheter-related infections dropped from 11.9% in 2009 to 5.4% in 2010.CONCLUSION For the risk factors of catheter-related infections in patients with severe trauma,implementing targeted interventions can significantly reduce the incidence of the catheter-related infections.