不同皮肤消毒剂对中心静脉导管相关血流感染发病率的影响
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程莉莉

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R187+.2

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医院感染预防与控制能力建设项目(CHA-2012-XSPX-0629-1)


Effect of different skin disinfectant on the incidence of central venous catheterrelated bloodstream infection
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    摘要:

    目的研究不同皮肤消毒剂对预防导管相关性血流感染(CRBSI)的影响。方法采用临床对照研究,比较2011年12月—2014年5月某三级甲等医院综合重症监护病房(ICU)患者中心静脉置管前使用复合型皮肤消毒剂、2%葡萄糖酸氯己定醇皮肤消毒剂患者CRBSI发病率差异。结果使用2%葡萄糖酸氯己定醇皮肤消毒剂的患者发生CRBSI 2例,其中革兰阴性菌(铜绿假单胞菌)和革兰阳性菌感染(金黄色葡萄球菌)各1例, CRBSI发病率为0.44‰(2/4 546);使用复合型皮肤消毒剂的患者发生CRBSI 22例,其中13例革兰阴性菌感染, 7例革兰阳性菌感染,2例真菌感染,CRBSI发病率4.11‰(22/5 349),两组CRBSI发病率比较,差异有统计学意义(χ2=15.640,P<0.01)。结论中心静脉置管前使用2%葡萄糖酸氯己定醇的皮肤消毒效果更好,可以有效地降低ICU患者CRBSI发病率,值得临床优先应用。

    Abstract:

    ObjectiveTo study the effect of different skin disinfectant on the prevention of catheterrelated bloodstream infection (CRBSI). MethodsClinical control study was used to compare the difference in incidences of CRBSI in patients who used compound skin disinfectant and 2% chlorhexidine gluconate (CHG) alcohol skin disinfectant before central venous catheterization in the intensive care unit of a tertiary first class hospital between December 2011 and May 2014. ResultsAmong patients who used 2% CHG alcohol skin disinfectant, 2 had CRBSI, one was gramnegative bacterial infection (Pseudomonas aeruginosa), and the other was grampositive bacterial infection (Staphylococcus aureus),incidence of CRBSI was 0.44‰(2/4 546); among patients who used compound skin disinfectant, 22 had CRBSI, 13 were gramnegative bacterial infection, 7 were grampositive bacterial infection, and 2 were fungal infection, incidence of CRBSI was 4.11‰(22/5 349), incidence of CRBSI between two groups of patients was significantly different (χ2=15.640,P<0.01). Conclusion2% CHG alcohol skin disinfectant has a better effect on the skin disinfection before central venous catheterization, which can effectively reduce the incidence of CRBSI in ICU patients, and is worthy of priority clinical application.

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程莉莉,张秀月,杨洪艳,等.不同皮肤消毒剂对中心静脉导管相关血流感染发病率的影响[J]. 中国感染控制杂志,2016,15(11):842-844. DOI:10.3969/j. issn.1671-9638.2016.11.009.
CHENG Lili, ZHANG Xiuyue, YANG Hongyan, et al. Effect of different skin disinfectant on the incidence of central venous catheterrelated bloodstream infection[J]. Chin J Infect Control, 2016,15(11):842-844. DOI:10.3969/j. issn.1671-9638.2016.11.009.

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  • 收稿日期:2016-05-28
  • 最后修改日期:2016-07-12
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  • 在线发布日期: 2016-11-30
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