CAJ | 학술논문

目的分析与探讨血液透析患者进行静脉置管后发生导管感染的病原菌及相应的治疗措施.方法选取2009年8月~2011年8月广东省第二人民医院收治的静脉置管血液透析患者共90例,于患者静脉置管后进行导管血细菌培养及药敏试验,持续观察10周,以分析相关感染病菌情况.对于全身感染的患者对其导管血标本与外周血标本进行培养,并给予相应的抗生素进行封管治疗.对于血培养显示阳性的患者进行针对性抗生素治疗,疗程持续1周.结果90例血液透析患者中28例发生导管感染,感染时间为(54.8±14.2)d.患者主要感染的病原菌为革兰阳性菌,对导管培养显示阳性的患者采取万古霉素等进行封管治疗后,其导管培养检查显示阴性.结论对血液透析患者采取导管血培养能够帮助患者早期发现导管感染,而对于导管感染的患者,采取抗生素封管是最有效的治疗措施.
목적분석여탐토혈액투석환자진행정맥치관후발생도관감염적병원균급상응적치료조시.방법선취2009년8월~2011년8월광동성제이인민의원수치적정맥치관혈액투석환자공90례,우환자정맥치관후진행도관혈세균배양급약민시험,지속관찰10주,이분석상관감염병균정황.대우전신감염적환자대기도관혈표본여외주혈표본진행배양,병급여상응적항생소진행봉관치료.대우혈배양현시양성적환자진행침대성항생소치료,료정지속1주.결과90례혈액투석환자중28례발생도관감염,감염시간위(54.8±14.2)d.환자주요감염적병원균위혁란양성균,대도관배양현시양성적환자채취만고매소등진행봉관치료후,기도관배양검사현시음성.결론대혈액투석환자채취도관혈배양능구방조환자조기발현도관감염,이대우도관감염적환자,채취항생소봉관시최유효적치료조시.
Objective To analysis and explore the patients on dialysis catheters catheter infection and its treatment measures. Methods The hospital frem August 2009 to August 2011 in our hospital vein catheterization for hemodialysis patients with a total of 60 cases in patients with venous catheter, catheter blood bacterial culture and drug sensitive test, continuous observation for 10 weeks, with the analysis of related infection situation. For systemic infection in patients on the catheter blood specimens and peripheral blood specimens for culture, and give the corresponding antibiotics tube sealing treatment. The blood culture positive patients were targeted antibiotic therapy, treatment lasted 1 weeks. Results 60 cases of hemodialysis patients of 7 cases of catheter infection, infection time was (54.8±14.2) days. Patients with primary infection of the pathogen were Gram-positive bacteria,the catheter tip culture showed positive patients taking vancomycin for sealing after the treatment,the catheter tip culture examination showed negative. Conclusion Patients on hemodialysis catheter in patients with blood cultures taken to help early detection of catheter infection, while the catheter infection in patients taking antibiotics, sealing is the most effective treatment measures.