肝移植与普通肝胆患者大静脉置管带菌的调查

目的通过对肝移植术后及普通肝胆疾病术后患者中心静脉置管带菌的检测,进一步对引起导管污染的危险因素进行分析探讨。方法对我科1995年10月~2003年10月大静脉置管患者1 093例常规细菌带菌情况进行统计,其中普通患者1 034例,肝移植患者59例。结果普通患者中发现29例常规细菌检测为阳性,阳性率2.8%,肝移植患者中患者4例常规细菌检测为阳性,阳性率6.8%。结论肝移植术后患者中心静脉置管感染率,明显高于其他术后患者。

Nosocomial Infection after Intubating Central Vein in Patients with Liver Transplantation Compared to Other Operated Patients: Investigation and Analysis

OBJECTIVE To study the preventing methods through analyzing risk factors of nosocomial infection about intubating central vein after liver transplantation.METHODS From Oct 1995 to Oct 2003,1093 patients intubated central vein were retrospectively analyzed through routine germs and fungi culture in our department.From them 59 cases underwent liver transplantation,1034 cases underwent other operations.RESULTS Twenty nine cases with other operations were found nosocomial infection,the positive rate was 2.8%.Four cases with liver transplantation were found nosocomial infection,the positive rate was 6.8%.CONCLUSIONS Nosocomial infection rate in patients underwent intubating central vein after liver transplantation is evidently higher than others.