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中心静脉置管相关性感染的分析与预防
引用本文:夏荣,李从贵,丁佩玉,夏鑫新. 中心静脉置管相关性感染的分析与预防[J]. 中国现代医学杂志, 2001, 11(1): 43-44
作者姓名:夏荣  李从贵  丁佩玉  夏鑫新
作者单位:1. 安徽医科大学第一附院老年心血管科
2. 安徽省长丰县卫生防疫站
摘    要:目的:探讨中心静脉置管相关性感染(置管感染)的高危因素并制订科学的防护措施。方法:回顾性分析22例置管感染的发病情况及其危害因素,结果:22例置管感染中,多数病例基础疾病严重且均有广谱抗生素长期应用史;股静脉,颈内静脉置管感染率高于锁骨下静脉;留管时间大于2周的置管感染率高于小于2周的(P<0.05),结论:机体抵抗力低下,广谱抗生素的应用,留管时间过长和置管部位不当是其高危因素,应针对其采取综合性防护措施。

关 键 词:中心静脉置管 医院内感染 预防
修稿时间:2000-08-10

ANALYSIS AND PREVENTION OFCENTRAL VENOUS CATHETER ASSOCIATED INFECTION
Xia Rong,Li Congui,Ding Peiyu. ANALYSIS AND PREVENTION OFCENTRAL VENOUS CATHETER ASSOCIATED INFECTION[J]. China Journal of Modern Medicine, 2001, 11(1): 43-44
Authors:Xia Rong  Li Congui  Ding Peiyu
Affiliation:Xia Rong,Li Congui,Ding Peiyu Department of Geriatric Cardiovascular Disease,The Fist Affiliated Hospital of Anhui Medical.University,Hefei 230022
Abstract:Objective:To study the high risk factors(HRF) of central venous catheter associated infection (CAI) and take reasonable measures of nuirsing and prevention.Methods:Risk factors and incidence of 22 cases of CAI were reviewed.Results:Most of the 22 cases had severe basic diseases,but all of them had the history of long-term use of broaden spectrum antibiotics (BSA).There were higher frequency of CAI from internal jugular vien and femoral vein than that from subclavian vein.Incidence of CAI for catheter duration (CD) exceeding 2 weeks was higher than that for less 2 weeks.Conclusions:Immunosuppression,use of BSA,long trems of CD and unreasonable catheter site were the HRF;therefore,comprehensive nursing and prevention methods for CAI should be taken.wer
Keywords:Central Venous Catheter  Nosocomial Infection Prevention
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