早期发现血液透析患者深静脉置管导管感染

目的探讨血液透析(HD)患者深静脉置管部位、留置时间与病原菌感染的关系。方法选择我中心城东病区47例HD患者,分为颈内静脉置管组和股静脉置管组,分别在置管后1、2、3、4周抽导管血行细菌培养和药敏。结果股静脉和颈内静脉感染率分别为6.38%、6.38%,感染距置管平均时间分别为(36.00±6.93)d和(27.67±4.73)d,主要病原菌为表皮葡萄球菌。结论早期导管血培养有助于早期发现深静脉置管感染以利早期治疗。

Early discoveries of the deep venous catheter-related infection in hemodialysis patients

Objective To explore the relationship among the place of deep venous indwelling catheter,catheter’s lasted time and pathogenicbacteria infection of hemodialysis patients.Methods 47 hemodialysis patients who were indwelled deep venous catheter in our dialysis center were be divided into two groups: jugular vein catheter group and femoral vein catheter group,blood bacteria culture and drug susceptibility conditions were analyzed for them every week.Results Both of the infection rates of jugular vein catheter group and femoral vein catheter group were 6.38%,the times between the catheter indwelled day and infected day of the two groups were(36.00±6.93)day and(27.67±4.73) days.Conclusion Early blood bacteria culture is helpful to discover early catheter-related infection and is benefit for its early therapy.