CAJ | 학술논문

目的：了解神经外科重症监护室侵入性导管感染发生情况，分析其感染特点，为制订预防感染措施提供理论依据。方法回顾性分析和总结本科室563例次留置侵入性导管患者的临床资料。结果563例次留置侵入性导管中，发生导管感染106例次，发生率为18.8%。各管道感染发生率以尿管居高，发生率为24.5%；其次是硬膜外引流管，发生率为16.9%。病原菌主要为凝固酶阴性葡萄球球菌。结论提高医护人员对侵入性操作感染危害性的认识，操作时遵守各种导管的护理操作规程和加强各种管道护理，对降低侵入性导管感染发生率，确保患者的安全具有重要的作用。
목적：료해신경외과중증감호실침입성도관감염발생정황，분석기감염특점，위제정예방감염조시제공이론의거。방법회고성분석화총결본과실563례차류치침입성도관환자적림상자료。결과563례차류치침입성도관중，발생도관감염106례차，발생솔위18.8%。각관도감염발생솔이뇨관거고，발생솔위24.5%；기차시경막외인류관，발생솔위16.9%。병원균주요위응고매음성포도구구균。결론제고의호인원대침입성조작감염위해성적인식，조작시준수각충도관적호리조작규정화가강각충관도호리，대강저침입성도관감염발생솔，학보환자적안전구유중요적작용。
Objective To study the characteristics of invasive catheter infection in neurosurgery intensive care unit (NICU) to provide theoretical basis for the prevention of the infections.Method A retrospective analysis was done into the clinical data of 563 patients with indwelling catheter from January 2011 to December 2012 in our department.Results Among 563 cases undergoing invasive catheteration,there were 106 cases of catheter-associated infections with an incidence of 18.8%. The urinary catheter-associated infection was 24.5% and epidural drainage catheter-associated infection was 16.9%.Conclusion The enhanced consciousness of critical catheter infections,abiding by principles for aseptic operation and strengthened nursing to catheters or tubes are critical for reducing the incidence of invasive catheter-associated infections and ensuring the safety patients.