CAJ | 학술논문

目的调查我院肿瘤病房一起嗜麦芽寡养食单胞菌引起的血管导管相关性血流感染暴发的原因，为预防和控制感染提供依据[1]。方法我科于2012年7月~2013年11月有1例经外周静脉穿刺置入中心静脉导管(PICC)患者发生CRBSI,立即采取措施，并拔出PICC导管。结果并经抗感染治疗后症状好转。 PICC导管并予送检导管末端化验，结果示嗜麦芽寡养食单胞菌。结论院在临床护理中应严格执行无菌技术操作，加强护理人员的培训，严格操作规程，才能有效控制和预防感染及其他并发症的发生，才能有效预防和减少各种并发症的发生。拔出导管后症状好转就该提高警惕CRBSI发生，及早作相关检查，得出诊断，就可以避免CRBSI案例发生。
목적조사아원종류병방일기기맥아과양식단포균인기적혈관도관상관성혈류감염폭발적원인，위예방화공제감염제공의거[1]。방법아과우2012년7월~2013년11월유1례경외주정맥천자치입중심정맥도관(PICC)환자발생CRBSI,립즉채취조시，병발출PICC도관。결과병경항감염치료후증상호전。 PICC도관병여송검도관말단화험，결과시기맥아과양식단포균。결론원재림상호리중응엄격집행무균기술조작，가강호리인원적배훈，엄격조작규정，재능유효공제화예방감염급기타병발증적발생，재능유효예방화감소각충병발증적발생。발출도관후증상호전취해제고경척CRBSI발생，급조작상관검사，득출진단，취가이피면CRBSI안례발생。
Objective The cause of outbreaks of vascular catheter-related bloodstream investigation tumor in our hospital ward with Stenotrophomonas maltophilia infection caused by food, to provide evidence for preventing and control ing infection [1]. Methods From July to 2013 in our department in 2012 November 1 cases of peripheral y inserted central venous catheter (PICC) in patients with CRBSI, immediately take measures, and pul out the PICC catheter. Results The anti infection treatment of symptoms. PICC catheter and catheter tip to sample testing, results showed that Stenotrophomonas maltophilia. Conclusion In clinical nursing should be strict implementation of aseptic technique, strengthen the training of nursing staf , strict operation regulations, and can ef ectively control and prevention of infection and other complications, can ef ectively prevent and reduce various complications. Pul out the catheter after symptoms should alert the occurrence of CRBSI, as wel the relevant examination, the diagnosis, can avoid the CRBSI case.