摘要
目的探讨血液净化治疗中深静脉导管相关感染的预防,以更好地指导临床工作。方法收集2011年5月-2012年5月接受血液净化治疗的患者60例,均给予深静脉置管治疗,随机分为观察组与对照组,各30例;对照组给予常规消毒预防感染,观察组在常规消毒基础上给予护理干预措施,比较两组患者感染的发生及病原菌检出。结果观察组患者深静脉导管感染率为3.33%,对照组为46.6%,两组比较差异有统计学意义(P<0.05);观察组检出1株病原菌为金黄色葡萄球菌,对照组检出病原菌为溶血性链球菌5株、表皮葡萄球菌4株、革兰阴性菌3株、金黄色葡萄球菌2株。结论在常规消毒基础上给予护理干预措施可有效预防深静脉导管相关感染,降低感染的发生率,值得临床推广应用。
OBJECTIVE To explore the prevention measures for deep venous catheter-related infections during the blood purification treatment so as to guide the clinical treatment. METHODS Totally 60 patients who received the blood purification treatment from May 2011 to May 2012, were enrolled in the study, all the subjects were given the deep venous catheterization and randomly divided into the observation group and the control group, with 30 eases in each, then the control group was treated with the conventional disinfection method, while the observation group Was given the additional nursing intervention based on the conventional disinfection method, and the inci-dence of infections and the detection rates of pathogens were observed and compared between the two groups. RESULTS The incidence of the deep venous catheter-related infections was 3. 33% in the observation group, 46.6% in the control group, the difference between the two groups was statistically signifieaht （P〈0. 05）. Among the pathogens isolated, 1 isolate of Staphylococcus aureus has been detected in the observation group; while 5 isolates of Streptococcus hernolyticus, 4 isolates of Staphylococcus epidermidis, 3 strains of gram-negative bacteria,and 2 strains of S. aureus have been isolated in the control group. CONCLUSION It is an effective way to implement additional nursing interventions based on the conventional disinfection so as to prevent the deep venous catheter-related infections and reduce the infection rate and is worthy of the clinical application.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第23期5687-5688,共2页
Chinese Journal of Nosocomiology
基金
保定市科技局基金资助项目(20134052)
关键词
血液净化治疗
中深静脉导管
感染预防
护理
Blood purification treatment
Deep venous catheter
Infection prevention
Nursing
