CAJ | 학술논문

目的了解急诊重症监护病房(ICU)中心静脉导管相关感染(CVC-RI)的病原菌特点和危险因素.方法对急诊ICU 2006年1月至2008年12月放置中心静脉导管并符合CVC-RI诊断标准,细菌学检查均阳性的103例患者进行回顾性调查分析.结果 CVC-RI病原菌中革兰阳性菌(37.9%,39/103)和革兰阴性菌(42.7%,44/103)发生感染的比例差异无统计学意义.CVC-RI与使用导管腔数、置管时间、置管部位有关.锁骨下静脉置管发生感染的比例最低.结论应尽量选择在锁骨下静脉置管,控制置管时间和导管腔数,注意监测病原菌菌谱的变化.预防重点是避免导管腔内外的污染.
목적 료해급진중증감호병방(ICU)중심정맥도관상관감염(CVC-RI)적병원균특점화위험인소.방법 대급진ICU 2006년1월지2008년12월방치중심정맥도관병부합CVC-RI진단표준,세균학검사균양성적103례환자진행회고성조사분석.결과 CVC-RI병원균중혁란양성균(37.9%,39/103)화혁란음성균(42.7%,44/103)발생감염적비례차이무통계학의의.CVC-RI여사용도관강수、치관시간、치관부위유관.쇄골하정맥치관발생감염적비례최저.결론 응진량선택재쇄골하정맥치관,공제치관시간화도관강수,주의감측병원균균보적변화.예방중점시피면도관강내외적오염.
Objective To investigate the feature of pathogenic bacteria in central venous catheter related infection (CVC-RI)and risk factor in the emergency intensive care unit (ICU).Methods One hundred and three patients were checked out bacteria from January 2006 to December 2008 in the ICU who were central venous catheter and corresponded with diagnostic criteria for CVC-RI.They were analyzed retrospectively.Results The ratio between Gram-postive bacteria (37.9%,39/103)and Gram-negative bacteria (42.7%,44/103)were not statistically significant,however,CVC-RI was related to applying duetal number,duct keeping on time and elect location.Duct staying in subclavian vein had the fewest chance.Conclusions It would be better to choose duct staying in subclavian vein.control remaining time and luminal number,and monitor changing pathogenic bacteria strictly.Main measures are taken to evade the pollution on the ental and external lumina.