刘蓉芝. 血液透析置管患者发生导管相关血行感染的影响因素分析[J]. 蚌埠医科大学学报, 2016, 41(12): 1629-1631. DOI: 10.13898/j.cnki.issn.1000-2200.2016.12.029
    引用本文: 刘蓉芝. 血液透析置管患者发生导管相关血行感染的影响因素分析[J]. 蚌埠医科大学学报, 2016, 41(12): 1629-1631. DOI: 10.13898/j.cnki.issn.1000-2200.2016.12.029
    LIU Rong-zhi. Analysis of the influencing factor of catheter-related bloodstream infection in patients with hemodialysis catheter[J]. Journal of Bengbu Medical University, 2016, 41(12): 1629-1631. DOI: 10.13898/j.cnki.issn.1000-2200.2016.12.029
    Citation: LIU Rong-zhi. Analysis of the influencing factor of catheter-related bloodstream infection in patients with hemodialysis catheter[J]. Journal of Bengbu Medical University, 2016, 41(12): 1629-1631. DOI: 10.13898/j.cnki.issn.1000-2200.2016.12.029

    血液透析置管患者发生导管相关血行感染的影响因素分析

    Analysis of the influencing factor of catheter-related bloodstream infection in patients with hemodialysis catheter

    • 摘要: 目的:探讨血液透析置管患者发生导管相关血行感染的影响因素。方法:选取肾病科住院并进行血液透析患者372例,根据患者是否发生导管相关血行感染分为感染组38例和对照组334例,收集患者的临床资料,对导管血行感染的相关因素进行分析。结果:372例血液透析置管患者中,导管相关血行感染的发生率为10.22%,置管感染的时间为(25.46±8.72)d。检出病原微生物共37株,其中革兰阳性菌28株占75.68%,革兰阴性菌7株占18.92%,真菌2株占5.40%。多因素logistic回归分析结果显示,合并糖尿病、贫血、营养不良、导管留置部位为股静脉、血清白蛋白<30 g/L是发生导管相关血行感染的危险因素。结论:针对导管相关血行感染的危险因素,应采取有针对性的防治措施,从而降低导管感染的发生率,提高血液透析患者的生存率。

       

      Abstract: Objective: To investigate the influencing factors of catheter-related bloodstream infection in patients with hemodialysis catheter.Methods: Three hundred and seventy-two patients with hemodialysis catheter in Department of Nephrology were divided into the infection group(38 cases) and control group(334 cases) according to the patients with catheter-related bloodstream infection.The clinical data of the patients were collected,and the catheter-related bloodstream infection factors were analyzed.Results: The incidence of catheter-related bloodstream infection and time of catheter infection in 372 patients were 10.22% and(25.46±8.72)d,respectively.Thirty-seven strains of pathogenic bacteria in catheter bloodstream infection were identified,which included 28 strains of Gram-positive bacteria(75.68%),7 strains of Gram-negative bacteria(18.92%) and 2 strains of fungi(5.40%).Multivariate Logistic regression analysis showed that diabetes mellitus,anemia,malnutrition,catheter indwelling in femoral vein and serum albumin less than 30 g/L were the risk factors of catheter bloodstream infection.Conclusions: Taking targeted measures against the risk factor of catheter bloodstream infection can reduce the incidence of catheter infection,and improve the survival rate of patients with hemodialysis.

       

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