批量重度烧伤患者中心静脉置管相关血流感染病例分析 
作者:
作者单位:

作者简介:

徐晓莉

通讯作者:

中图分类号:

R644R181.3+2

基金项目:

全军后勤科研计划课题(CNJ14L004);军区医学科技创新课题(14MS106);中华医院感染控制研究基金(ZHYG2014-0037)


Central venous catheterrelated bloodstream infection in mass severe burn patients
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的了解批量重度烧伤患者中心静脉置管相关血流感染情况、危险因素及感染防控措施效果。方法某院2014年8月抢救了9例重度烧伤患者,对其行中心静脉置管术,置管全程对患者进行感染防控干预。结果9例患者共进行中心静脉置管30例次,置管总日数227 d,其中2例患者股静脉三腔置管细菌培养阳性,导管相关血流感染(CRBSI)发病率为8.81‰;其中1例患者培养出屎肠球菌,另1例患者培养出鲍曼不动杆菌和嗜麦芽窄食单胞菌。2例CRBSI患者均为股静脉置管,置管部位均为创面,置管时间均≥7 d,均为三腔置管,且患者Ⅲ°烧伤面积≥60%。经及时拔除导管和使用抗菌药物,2例感染患者均治愈。结论中心静脉置管有利于危重烧伤患者长期、安全、有效地补液,但其可导致CRBSI;对中心静脉导管置管患者进行全程感染防控干预,选用少腔导管,有助于降低CRBSI的发生。

    Abstract:

    ObjectiveTo investigate the occurrence of central venous catheterrelated bloodstream infection(CRBSI) in mass severe burn patients, evaluate related risk factors for infection, and effectiveness of prevention and control measures. MethodsIn August 2014, 9 cases of severe burn patients were rescued in a hospital, all patients received CVC, infection prevention and control intervention measures were performed during the whole process of catheterization. ResultsAll  patients received 30 episodes of CVC,total CVCdays were 227 days, bacterial culture for threecavity catheters of femoral veins in 2 patients were positive, incidence of CRBSI was 8.81‰;1 patient was isolated Enterococcus faecium,1 isolated both Acinetobacter baumannii and  Stenotrophomonas maltophilia. 2 CRBSI patients received femoral vein catheterization, catheterization site was trauma surface, duration of catheterization were both ≥7 days, both used threecavity catheters, and third degree burns  were ≥60%, both patients were cured after timely removal of catheters and receiving of antimicrobial agents.  ConclusionCVC is helpful for long term, safe and effective fluid infusion, but it can cause CRBSI; infection prevention and control intervention for patients receiving CVC  during the whole process of catheterization can reduce the occurrence of CRBSI.

    参考文献
    相似文献
引用本文

黄慧敏,徐晓莉,尹湘毅,等.批量重度烧伤患者中心静脉置管相关血流感染病例分析 [J]. 中国感染控制杂志,2015,14(3):181-183. DOI:10.3969/j. issn.1671-9638.2015.03.008.
HUANG Huimin, XU Xiaoli, YIN Xiangyi, et al. Central venous catheterrelated bloodstream infection in mass severe burn patients[J]. Chin J Infect Control, 2015,14(3):181-183. DOI:10.3969/j. issn.1671-9638.2015.03.008.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2014-09-19
  • 最后修改日期:2014-11-10
  • 录用日期:
  • 在线发布日期: 2015-03-30
  • 出版日期: