PICC感染高危因素分析及预防措施

Analysis and preventive measures of high risk factors of PICC catheter infection

目的分析经外周置入中心静脉导管(PICC)感染发生的高危因素,研究预防措施,使患者置管安全性得到有效保证。方法调查2009年1月-2012年9月医院行PICC置管患者85例临床资料,对其进行相关感染因素监测与分析。结果 85例置管患者中发生导管相关性感染6例,感染率为7.1%,置管感染与年龄、血管条件、无菌操作环境、导管置入位置、导管留置时间及应用化疗、高营养药物的频率等因素密切相关。结论在PICC置管患者中去除高危因素,可有效预防PICC导管感染的发生,对控制医院感染、延长置管时间、保证患者安全有重大意义。

OBJECTIVE To analyze the high risk factors of PICC catheter infections and study the preventive measures, so that the security of those patients with pipe can be effectively guaranteed. METHODS The clinical data of 85 cases of patients with PICC catheter in the hospital were investigated and the associated infection factors were monitored and analyzed. RESULTS Among 85 cases of＊ patients with catheter, 6 cases developed catheterrelated infections, with the infection rate of 7.1%. Catheter infection was closely related with factors such as age, vascular conditions, sterile operating environment, catheter position, catheter duration and chemotherapy, frequency of taking high nutrition drugs. CONCLUSIONS Removing high-risk factors in patients with PICC catheter can effectively prevent the occurrence of PICC catheter infection, and also has great significance to the hospital infection control, the duration of catheter and patients＇ safety.