CAJ | 학술논문

目的探讨 ICU 导管相关性血流感染(catheter-related blood stream infections, CRBSI)的风险因素,及其预防对策.方法回顾性分析2008年5月至2012年5月我院实 ICU 实施中心静脉置管的患者803例,其中发生 CRBSI 46例,分析发生的原因并制订相应的对策.结果46例患者发生 CRBSI 的原因与操作不当、导管的类型和材料、置管部位、时间及患者因素等有关;其中4例患者更换导管,7例拔除了导管,其余35例感染得到控制.结论患者、导管及置管因素均影响 CRBSI 的发生,通过纠正诱发因素,降低 CRBSI 发生率,有助于改善患者预后.
목적탐토 ICU 도관상관성혈류감염(catheter-related blood stream infections, CRBSI)적풍험인소,급기예방대책.방법회고성분석2008년5월지2012년5월아원실 ICU 실시중심정맥치관적환자803례,기중발생 CRBSI 46례,분석발생적원인병제정상응적대책.결과46례환자발생 CRBSI 적원인여조작불당、도관적류형화재료、치관부위、시간급환자인소등유관;기중4례환자경환도관,7례발제료도관,기여35례감염득도공제.결론환자、도관급치관인소균영향 CRBSI 적발생,통과규정유발인소,강저 CRBSI 발생솔,유조우개선환자예후.
@@@@ Objective To investigate the influential factors of central venous catheter-related bloodstream infections (CRBSI) in ICU, so as to develop appropriate countermeasures. Methods The clinical date of 803 ICU patients from May 2008 to May 2012 treated with central venous catheter were retrospectively reviewed to find 46 cases of catheter-related bloodstream infections. The influential factors were analyzed and the countermeasures were worked out. Results 46 cases of CRBSI were related with improper operation, tube type and materials, catheter site, time and patients and other relevant factors. 4 cases were treated with catheter replacement. 7 cases were removed of the catheter and 35 cases were controled stably. Conclusion it’s possible way to reduce the incidence of CRBSI and help to improve the prognosis of patients, from correcting factors, including patients, catheter and catheter factors, which influence the occurrence of CRBSI.