血液净化中心静脉导管感染的临床治疗分析

Clinical Analysis of Venous Catheter Infection in Blood Purification Center

目的研究血液净化过程中中心静脉导管感染的几率、菌群分布以及相关危险因素。方法我院选择2015年1月-2017年1月实施血液净化中心静脉导管置管的200例患者,对其中心静脉置管相关感染的发生几率、菌群分布进行分析,统计患者原发病、年龄、留管时间以及置管部位与中心静脉导管感染发生相关性。结果通过对所选的患者进行分析,其中27例出现了中心静脉导管感染,17例为革兰氏阳性菌,10例为革兰氏阴性菌。置管时间越长出现感染的几率越高。结论中心静脉导管相关性感染发生几率较高,主要为革兰氏阳性菌,感染的诱因主要为置管时间、糖尿病肾病以及股静脉置管等,通过对诱因进行分析,制定有效的预防措施,降低感染发生几率。

Objective To study the blood purification process of central venous catheter infections, bacterial distribution and related risk factors. Methods In our hospital 200 cases of blood purification center venous catheter in patients with the implementation from January 2015 to January 2017, the incidence of central venous catheter related infection, bacterial distribution analysis age, primary disease, statistics, and the remaining time of the catheter and central venous catheter infection correlation. Results Through the analysis of selected patients, including 27 cases of central venous catheter infection, 17 cases of gram positive bacteria, 10 were gram negative bacteria. The longer catheter infection probability is high. Conclusion The central venous catheter-related infection risk, mainly for gram positive bacteria, infection is the major trigger time of catheterization, diabetic nephropathy and femoral vein catheterization, the cause of analysis, establish effective preventive measures, reduce the infection the probability of occurrence.