摘要
目的通过回顾性分析恶性肿瘤患者深静脉导管相关性血流感染情况,为临床防治该类患者提供参考。方法回顾性分析芜湖市第一人民医院、安徽中医药大学第二附属医院、安阳地区医院2014年1月至2016年12月共107例次恶性肿瘤患者发生的深静脉导管相关性血流感染情况及病原学结果。结果 107例次深静脉导管感染,其中培养出革兰阳性菌46例(42.98%),革兰阴性菌38例(35.51%),真菌23例(21.51%);其中导管留置后在7~30天内出现的感染率最高,达43.90%;不同的导管维护方式的经外用静脉导入中心静脉置管(PICC)导管感染情况亦不同,个体诊所、外院维护和自行维护的感染例数的构成比分别达到48.7%和28.3%。结论恶性肿瘤患者深静脉导管相关性血流感染主要以革兰阳性菌为主,导管留置后在7~30天内出现的感染率最高,应加强预防,不正确的维护方式将导致相关性血流感染率明显增高。
Objective To analyze deep venous catheter-related bloodstream infection in patients with malignant tumor for reference in prevention and treatment of the disease.Methods Retrospective analysis was made in 107 cases of patients with malignant tumor in the hospital from January 2014 to December 2016,including the incidence of deep venous catheter-related bloodstream infection.Results In 107 patients of deep venous catheter related bloodstream infection,gram positive bacteria were cultured in 46cases（42.98%）,gram negative bacteria 38cases（35.51%）and fungi 23cases（21.51%）.The highest infection rate was found in 7-30 days after catheter indwelling,up to 43.90%.The ways of catheter maintenance of peripherally inserted central catheters（PICC）infection also showed significant difference.The constituent ratios of two PICC infections from individual clinics or/external hospitals maintenance and self maintenances were respectively 48.7% and 28.3%.Conclusion Malignant tumor patients with deep venous catheter-related bloodstream infection were mainly gram positive bacteria.The highest infection rate was found in 7-30 days after catheter indwelling.Prevention should be strengthened.Improper maintenance will result in a significant increase in the rate of infection.
出处
《临床荟萃》
CAS
2017年第8期695-698,共4页
Clinical Focus
基金
安徽中医药大学青年科学研究基金(2014qn033)
关键词
癌
导管插入术
细菌感染
carcinoma
catheterization
bacterial infections
