ICU导管相关血流感染危险因素分析
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余红

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R181.3+2

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Risk factors for catheterrelated bloodstream infection in an intensive care unit
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    摘要:

    目的了解重症监护室(ICU)导管相关血流感染(CRBSI)的危险因素,为其预防控制提供科学依据。方法选取2008年1月—2012年12月某院ICU行中心静脉置管(CVC)且时间>48 h的住院患者1 677例,分为CRBSI组和非CRBSI组,对其进行危险因素分析。结果CVC使用率为 92.88%(21 041 d);发生CRBSI 86例,CRBSI发生率为5.13%,千导管日CRBSI发生率为4.02/1 000,CRBSI组患者病死率为58.14%(50/86),显著高于非CRBSI组的36.83%(586/1 591),差异有统计学意义(χ2=15.74,P<0.01)。多因素logistic回归分析结果显示,入住ICU时间>5 d、CVC时间>5 d、CVC次数>1次是CRBSI的危险因素(均P<0.01)。结论了解ICU住院患者CRBSI状况及其危险因素,可为进一步开展目标性监测,实现CRBSI“零宽容”的奋斗目标提供参考。

    Abstract:

    ObjectiveTo study the risk factors for catheterrelated bloodstream infection (CRBSI) in an intensive care unit (ICU), and provide scientific evidence for CRBSI prevention and control. Methods1 677 ICU patients with central venous catheterization (CVC) for>48 hours between January 2008 and December 2012 were divided into CRBSI group and nonCRBSI group, risk factors  for CRBSI were analyzed. ResultsThe utilization rate of CVC was 92.88% (21 041 d); 86 (5.13%) patients developed CRBSI, the incidence of CRBSI per 1 000 catheterizationday was 4.02, the mortality of CRBSI group was significantly higher than nonCRBSI group (58.14% [50/86] vs 36.83%[586/1 591])(χ2=15.74,P<0.01).Multivariate logistic regression analysis showed that the risk factors for CRBSI included length of stay in ICU>5 days, CVC>5 days, the episode of CVC>1 (P<0.01). ConclusionRealizing the occurrence status and risk factors of CRBSI in ICU patients can provide reference for further targeted monitor and implementation of zero tolerance goal of the CRBSI.

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刘银梅,余红,杨惠英. ICU导管相关血流感染危险因素分析[J]. 中国感染控制杂志,2014,13(8):472-474. DOI:10.3969/j. issn.1671-9638.2014.08.006.
LIU Yinmei, YU Hong, YANG Huiying. Risk factors for catheterrelated bloodstream infection in an intensive care unit[J]. Chin J Infect Control, 2014,13(8):472-474. DOI:10.3969/j. issn.1671-9638.2014.08.006.

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  • 收稿日期:2013-08-12
  • 最后修改日期:2013-11-12
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  • 在线发布日期: 2014-08-30
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