摘要
目的探讨中心静脉插管感染(插管感染)的高危因素并制订科学的预防和护理措施。方法回顾性分析22例插管感染的发病情况及其危险因素。结果22例插管感染中,多数病例有严重的基础疾病且均有长期使用广谱抗生素病史;股静脉、颈内静脉插管感染率高于锁骨下静脉;留管时间大于2周的插管感染率明显升高(与留管时间小于2周相比;P<0.05)。结论机体抵抗力低下、广谱抗生素的长期使用、留管时间过长、插管部位和护理不当等是其高危因素,应针对其采取综合性预防和护理措施。
Objective To investigate the high risk factors（HRF） of central venous catheter associated infection（CAD and take reasonable nursing and prevention countermeasures. Methods Risk factors and incidence of 22 eases of CAI were analyzed retrospectively. Results Most of the 22 cases had severe basic diseases,hut all of them had the history of long- term use of broaden spectrum antihiotics（BSA）. There was higher frequency of CAI from internal jugular vein catheter and femoral vein catheter than that from subclavian vein. Incidence of CAI for catheter duration（CD） more than 2 weeks was higher than that less 2 weeks. Conclusion Immunosuppression,use of BSA,long terms of CD and unreasonable catheter site and nursing were the HRF ,therefore,comprehensive nursing and prevention methods for CAI should he taken.
出处
《临床护理杂志》
2006年第1期51-53,共3页
Journal of Clinical Nursing
关键词
导管插入术
中心静脉
感染/护理
感染控制
catheterization,central venous
infection/nursing
infection control
作者简介
夏荣。女。1972年出生，本科，主管护师
