摘要
目的评价抗感染中心静脉导管在减少重症监护病房(ICU)患者导管相关性感染(CRI)中的作用。方法将248例在ICU留置中心静脉导管的患者随机分成普通中心静脉导管组(对照组120例)和抗感染中心静脉导管组(抗感染组128例),观察两组CRI的发生率和病原菌分布情况。结果抗感染组的CRI发生率明显低于对照组(6.3%vs14.2%),差异有统计学意义(P<0.05)。CRI的病原菌为金黄色葡萄球菌、鲍曼不动杆菌、阴沟肠杆菌、肠球菌、肺炎克雷伯菌和白色念珠菌,但两组患者CRI病原菌分布比较,差异无统计学意义(P>0.05)。结论抗感染中心静脉导管可明显降低ICU患者CRI的发生率。
Objective To evaluate the effect of reducing intravenous catheter-ralated infection（CRI） using antiseptic impregnated central venous catheter in patients in intensive care unit（ICU）.Methods 248 patients treated in ICU who needed intravascular catheterization were randomly divided into the control group（120 cases,treated with ordinary central venous catheter） and the antiseptic group（128 cases,treated with antiseptic impregnated central venous catheter）.The incidence of CRI and pathogenic distribution were observed.Results The incidence of CRI in the antiseptic group was significantly lower than that of the control group（6.3% vs 14.2%,P0.05）.The pathogens of CRI were Staphylococcus aureus,Acinetobactor baumannii,E.cloacae,enterococcus,Klebsiella pneumoniae and Candida albicans.Pathogenic distribution between the two groups showed no statistically significant difference（P0.05）.Conclusion Antiseptic impregnated central venous catheter can obviously reduce the incidence of CRI in patients in ICU.
出处
《海南医学》
CAS
2012年第7期146-147,共2页
Hainan Medical Journal
关键词
抗感染中心静脉导管
普通中心静脉导管
导管相关性感染
Antiseptic impregnated central venous catheter
Ordinary central venous catheter
Catheter-related infection
