| 肿瘤患者中心静脉置管相关性感染研究 |
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| 引用本文： | 张晓霞,陈惠蓉,付岚,陈旭霞,张智,许辉琼,李俊英. 肿瘤患者中心静脉置管相关性感染研究[J]. 中国循证医学杂志, 2011, 11(11): 1258-1261 |
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| 作者姓名： | 张晓霞 陈惠蓉 付岚 陈旭霞 张智 许辉琼 李俊英 |
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| 作者单位： | 1. 四川大学华西医院肿瘤中心,成都,610041
2. 成都市武侯区人民医院,成都,610041 |
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| 基金项目： | 成都市武侯区软科学研究资助项目:PICC和CVC应用于肿瘤患者并发症的对比研究(编号:200) |
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| 摘 要： | 目的 了解肿瘤患者中心静脉置管相关性感染情况.方法 对四川大学华西医院196例肿瘤患者进行前瞻性研究,分析导管相关性感染类型和病原菌类型,以及导管相关性感染与置管部位、性别、年龄、置管时间和骨髓抑制程度的关系.结果 196例患者中发生导管相关性感染16例,感染率8.2％,其中病原菌定植5例、出口部位感染4例、导管相关性血流感染7例.共送检标本244份,其中20份病原菌培养阳性,培养出革兰氏阳性和革兰氏阴性两类共7种病原菌,病原菌以金葡菌、表葡菌、鲍曼不动杆菌和肺炎克雷伯杆菌为主.相关性分析显示,导管相关性感染与置管部位和年龄有关,两者均为独立危险因素.结论 应树立预防为主的观念,采取综合措施降低导管相关性感染,如选择合适的置管部位和严格导管植入患者的纳入标准等.
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| 关 键 词： | 肿瘤患者 中心静脉置管 导管相关性感染 病原菌 危险因素 |
A Study on Catheter Related Infection in Cancer Patient Treated with Central Venous Catheterization |
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| ZHANG Xiao-xia,CHEN Hui-rong,FU Lan,CHEN Xu-xia,ZHANG Zhi,XU Hui-qiong,LI Jun-ying. A Study on Catheter Related Infection in Cancer Patient Treated with Central Venous Catheterization[J]. Chinese Journal of Evidence-based Medicine, 2011, 11(11): 1258-1261 |
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| Authors: | ZHANG Xiao-xia CHEN Hui-rong FU Lan CHEN Xu-xia ZHANG Zhi XU Hui-qiong LI Jun-ying |
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| Affiliation: | ZHANG Xiao-xia1,CHEN Hui-rong1,FU Lan1,CHEN Xu-xia1,ZHANG Zhi2,XU Hui-qiong1,LI Jun-ying1*1.Cancer Center of West China Hospital,Sichuan University,Chengdu 610041,China,2.People's Hospital of Wuhou District of Chengdu City |
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| Abstract: | Objective To study the catheter-related infection(CRI) in cancer patients treated with central venous catheterization.Methods A prospective study with 196 cancer patients was conducted to analyze the types of catheter-related infection and pathogen,as well as the relationship between CRI and the following factors: insert location,gender,age,remained time,or bone marrow suppression.Results Of the total 196 cases,16 cases were diagnosed as CRI and the CRI rate was 8.2%.The types of CRI were five cases of path... |
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| Keywords: | Cancer patient Central venous catheterization Catheter-related infection Pathogen Risk factor |
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