| 重症监护病房血流感染的危险因素调查 |
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| 引用本文： | 申桂娟,王李华,张伟文,孙平平,陆军,胡金兰,郑佩君.重症监护病房血流感染的危险因素调查[J].中华医院感染学杂志,2008,18(12). |
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| 作者姓名： | 申桂娟 王李华 张伟文 孙平平 陆军 胡金兰 郑佩君 |
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| 作者单位： | 衙州市人民医院感染管理科,浙江,衙州,324000 |
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| 摘 要： | 目的 了解重症监护病房(ICU)血流感染流行的危险因素.方法 对ICU2007年3-8月发生血流感染24例进行调查,对ICU中心静脉置管的操作和护理进行跟踪督查.结果 感染主要发牛在置管7 d内,15例占62.5%;产超广谱β-内酰胺酶(ESBLs)肺炎克雷伯菌、产气肠杆菌、鲍氏不动杆菌是血流感染的主要病原菌;ICU患者基础疾病重;多处血管内置管操作及操作时不恰当的无菌屏障是导致血流感染的主要危险因素.结论 ICU患者病情危重,严格掌握中心静脉置管适应证与留置时间;中心静脉置管后输液严格的无菌技术等是预防血流感染的主要措施.
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| 关 键 词： | 血流感染 危险因素 控制措施 |
Risk Factors of Bloodstream Infection in ICU |
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| SHEN Gui-juan,WANG Li-hua,ZHANG Wei-wen,SUN Ping-ping,LU Jun,HU Jin-lan,ZHENG Pei-jun.Risk Factors of Bloodstream Infection in ICU[J].Chinese Journal of Nosocomiology,2008,18(12). |
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| Authors: | SHEN Gui-juan WANG Li-hua ZHANG Wei-wen SUN Ping-ping LU Jun HU Jin-lan ZHENG Pei-jun |
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| Abstract: | OBJECTIVE To investigate risk factors of bloodstream infection in ICU.METHODS From May 2007 to Aug 2007,the operation of central venous catheter and the medical attendance of 24 cases with bloodstream infection were retrospectively analyzed.RESULTS Fifteen cases with infection(62.5%) were found in 7 days;ESBLs-producing Klebsiella pneumoniae,Enterobacter,and Acinetobacter baumannii were the major pathogens.The major risk factors included severe underlying diseases,endovascular catheter operation and incorre... |
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| Keywords: | Bloodstream infection Risk factors Control measures |
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