患儿居家腹膜透析感染的质性研究

Qualitative Research on Domiciliary Peritoneal Dialysis Infection of Children

目的对居家腹膜透析患儿发生相关感染的原因进行分析,减少感染发生率。方法采用质性研究中的内容分析法,通过随访、检视13例患儿的居家腹膜透析操作情况,了解患儿的饮食、营养状况,询问患儿的生活习惯,分析居家腹膜透析患儿发生感染的原因,形成文字资料。结果 13例居家腹膜透析患儿透析时间最长44个月,最短2个月,发生感染10例(12例次),其中出口处感染7例次;发生腹膜炎5例次;3例患儿未发生感染;10例患儿中除发生脐漏的1例被迫停止透析,其余9例患儿予相应治疗后感染得到控制,继续进行腹膜透析。结论居家腹膜透析患儿相关感染的发生原因除了患儿自身特点外,主要与外源性感染有关。掌握居家腹膜透析动态,及时发现并控制导致感染的因素,可有效减少或预防腹膜透析相关感染的发生。

Objective To analyze the causes of domiciliary peritoneal dialysis related infections in children and reduce the incidence of infection. Methods Take content analysis to learn the operation of domiciliary peritoneal dialysis on 13 children by follow-up visit and inquire their diets, nutrition conditions and life habits before analyze their causes of infection and put into files.Results The longest dialysis in these 13 children with domiciliary peritoneal dialysis was 44 months and the shortest was only 2 months. There are 10 cases infected （12 times）, among which 7 were catheter end infection and 5 were peritonitis. 3 children remained uninfected. Except the one case with umbilical fistula, the rest 9 children＇s infection was under control after receiving befitting treatment and continued peritoneal dialysis.Conclusion Besides children＇s own characteristics, the main cause of domiciliary peritoneal dialysis related infection in children is exogenous infection. Timely detecting factors that could lead to infection and taking them under control can effectively reduce or prevent peritoneal dialysis related infection.