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肿瘤患者PICC导管相关性感染的危险因素及预防对策
引用本文:单佩佩. 肿瘤患者PICC导管相关性感染的危险因素及预防对策[J]. 中华医院感染学杂志, 2011, 0(18): 3817-3819
作者姓名:单佩佩
作者单位:温州市第二人民医院放疗科,浙江温州,325007
摘    要:目的探讨肿瘤患者经外周静脉置入中心静脉导管(PICC)的导管相关性感染(CRI)危险因素及预防对策。方法回顾性分析340例PICC患者临床资料,比较CRI组与无CRI感染组患者在性别、年龄、病程、应用化疗、高营养药物、激素、基础疾病、操作人员经验、插管部位、导管留置时间等方面的差异。结果 CRI发生率为11.76%,单因素检验8个变量与CRI相关,logistic回归分析筛选出独立危险因素,依次为操作经验少、高营养、化疗药物应用、导管留置时间长、高龄。结论 PICC合并CRI的发生率较高,通过提高穿刺技巧和成功率、应用高营养、化疗药物需严格无菌操作及时冲管、缩短导管留置时间、提高机体免疫力,减少CRI发生。

关 键 词:深静脉置管  导管相关性感染  危险因素

Risk factors for peripherally inserted central catheter-related infections in tumor patients and preventive countermeasures
SHAN Pei-pei. Risk factors for peripherally inserted central catheter-related infections in tumor patients and preventive countermeasures[J]. Chinese Journal of Nosocomiology, 2011, 0(18): 3817-3819
Authors:SHAN Pei-pei
Affiliation:SHAN Pei-pei(The Second People′s Hospital of Wenzhou,Wenzhou,Zhejiang 325007,China)
Abstract:OBJECTIVE To explore the risk factors and countermeasures for PICC and catheter-related infections.METHODS A total of 340 cases of patients PICC clinical information were retrospectively analyzed,compared with patients CRI group and group of patients without the CRI infection in gender,age,education level,and the course,chemotherapy drugs,high nutrition with disease,share hormone,operator experience,parts,catheter lien intubation time of differences.RESULTS The infection rate of CRI was 11.76%,and the singl...
Keywords:Deep venous catheterization  Catheter-related infection  Risk factors  
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