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目的探讨血管相关性感染的临床特点,分析其危险因素,为有效控制血管相关性感染的发生提供可靠依据。方法利用前瞻性和回顾性调查的方法 ,对医院2008年1~12月发生的血管相关性感染患者进行统计分析。结果 40例血管相关性感染中,最常见的病原菌是大肠埃希菌占27.28%,表皮葡萄球菌占24.24%;>70岁的老年患者、梅雨季节、抗菌药物的不合理使用、侵入性操作、静脉营养是血管相关性感染的易感因素。结论熟练掌握置管技术,严格遵守操作规程,做好置管后的护理,严格营养液的配制,合理用药,加强手卫生和医院感染的监测是预防与控制血管相关性感染的有效方法 。
Objective To investigate the clinical features of vascular-related infections and to analyze their risk factors, so as to provide a reliable basis for effectively controlling the occurrence of vascular-related infections. Methods The prospective and retrospective survey methods were used to analyze the data of patients with vascular-related infections in hospital from January to December in 2008. Results Of the 40 cases of vascular related infections, the most common pathogens were Escherichia coli (27.28%) and Staphylococcus epidermidis (24.24%). In elderly patients> 70 years of age, during the rainy season, irrational use of antibacterials, invasive procedures, Vein nutrition is a predisposing factor to vascular-related infections. Conclusion It is an effective method to prevent and control vascular related infection by mastering the catheterization technique, strictly observing the operation rules, nursing after catheterization, preparing the nutrient solution strictly and using it rationally, and monitoring the hand hygiene and nosocomial infection.