经皮中心静脉置管的感染状况分析

目的:观察经皮中心静脉置管后发生导管相关性感染(CRI)的情况,寻找可能导致感染的因素。方法:回顾性分析178例经皮中心静脉置管患者的临床资料。结果:CRI的发生率为4.5%,低于我院平均医院感染率(5%),主要病原菌以金黄色葡萄球菌为主,感染的发生与置管持续时间,患者的免疫水平,无菌操作,长期静脉高营养药物的使用有关。结论:应重视中心静脉置管术导管相关性感染。

Analysis of Infections of Percutaneous Central Venous Catheterization

Objective: To observe the catheter-related infection(CRI) events after percutaneous central venous catheterization, and search for the causative factors. Methods: Clinical data of 178 cases with percutaneous central venous catheterization were analyzed retrospectively. Results: The incidence of CRI ( 4.5% ) was lower than the average nosocomial infection rate (5%). The main pathogens were staphylococcus aureus. The occurrence of infection was closely related to the duration of catheterization, patient's immune function, aseptic manipulation and long-term total parental nutrition. Conclusion: Central venous catheter-related infection must be paid attention.