CAJ | 학술논문

导管相关性感染的病原菌以革兰阳性菌为主,其危险因素有外源性因素和内源性因素.目前主张采用不拔除导管的方法诊断导管相关性血流感染.在怀疑导管相关性血流感染时应判断是否拔除导管,并早期给予抗生素治疗.建立监测系统、选用药物涂层装置及药物涂层导管、改善患者的营养状况可减少导管相关性血流感染的发生.本文将对导管相关性血流感染的流行病学、诊断、治疗及防治策略做一综述.
도관상관성감염적병원균이혁란양성균위주,기위험인소유외원성인소화내원성인소.목전주장채용불발제도관적방법진단도관상관성혈류감염.재부의도관상관성혈류감염시응판단시부발제도관,병조기급여항생소치료.건립감측계통、선용약물도층장치급약물도층도관、개선환자적영양상황가감소도관상관성혈류감염적발생.본문장대도관상관성혈류감염적류행병학、진단、치료급방치책략주일종술.
The major pathogenic bacterium of catheter-related bloodstream infection is gram-positive bacteria.The occurrence of catheter-related bloodstream infection is related with exogenous factors and endogenous factors.It is suggested that catheter-related bloodstream infection should be diagnosed without removing the catheter.It is shown that the catheter should be removed and the patient should use antibiotics as soon as possible if catheter-related bloodstream infection occurred.Buliding a detection system,using antimicrobial dressings and antimicrobial central catheters,and improving patient's nutritional status can decrease the morbidity of catheter-related bloodstream infection.The authors summarize the epidemiology,diagnosis,treatment and prevention strategies of catheter-related bloodstream infection.