心脏介入术后血管相关性血流感染因素分析及干预对策

Risk Factors and interventions for bloodstream infections after cardiac interventional therapy

目的探讨心脏介入手术后发生中心静脉相关性血流感染因素及干预对策。方法对心脏介入手术患者进行目标性监测及导管室的管理监控,分析、干预和总结感染因素。结果通过开展目标性监测及干预对策,中心静脉导管相关性血流感染的感染率由开展前的1.9%下降为0,差异有统计学意义(P<0.01)。结论加强导管室管理,对介入手术进行监测和感染因素的干预,是预防心脏介入手术发生中心静脉导管相关性血流感染的有效方法。

OBJECTIVE To explore risk factors and intervention countermeasures for central venous catheterrelated bloodstream infections after cardiac： interventional therapy. METHODS By carrying out targeted surveillance in cardiac interventional therapy and monitoring of catheterization lab, the risk factors for the infections were analyzed, intervened, and summarized. RESULTS The incidence of the central venous catheterrelated infectionsdropped from 1.9 % to 0 after the targeted surveillance and intervention countermeasures, and the difference was statistically significant （P〈0.01）. CONCLUSION To strengthen the management of cauterization lab, monitor the interventional surgery, and intervene in the risk factors are effective ways to prevent central venous catheter related bloodstream infections after cardiac interventional therapy.