Abstract:ObjectiveTo investigate risk factors for peripherally inserted central catheter (PICC)related fungal infection in patients with hematological malignancies.Methods528 patients with hematological malignancies and received PICC in a hospital from July 2010 to July 2015 were selected, through retrospective study and according to whether PICCrelated fungal infection occurred, patients were divided into bloodstream infection(BSI) group, puncture site infection group, and noninfection group, risk factors for PICCrelated fungal infection was performed logistic regression analysis.ResultsAmong 528 hematological malignancies patients with PICC, 48 (9.09%) had fungal infection, 32 cases (66.67%) were with catheterrelated fungal BSI (CRFBSI), 6(12.50%) were with puncture site infection, and 10(20.83%) were with both CRFBSI and puncture site infection; 48 strains of fungi were isolated, mainly Candida parapsilosis (21 strains, 43.75%). Multivariate logistic regression analysis showed that neutrophil count≤0.5×109/L, length of hospital stay>10 days, antimicrobial use, and chemotherapy use>3 times were independent risk factors for bloodstream fungal infection in PICC patients; chemotherapy use>3 times and delayed catheter maintenance cycle were independent risk factors for infection at puncture site.ConclusionPICCrelated fungal infection results from multiple risk factors, comprehensive and dynamic assessment of risk factors should be paid attention, effective intervention measures needs to be taken.