胃肠道手术后中心静脉导管相关血流感染的危险因素
Risk factors for central venous catheter-related bloodstream infections after gastrointestinal surgery.
作者信息
Wu Shenghai, Ren Shuhua, Zhao Hongfeng, Jin Huicheng, Xv Lihui, Qian Shenxian, Wang Shuying
机构信息
Department of Laboratory, Hangzhou First People's Hospital of Zhejiang Chinese Medical University, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China.
Department of Nosocomial Infection Management, Hangzhou Hospital of Nanjing Medical University, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China.
出版信息
Am J Infect Control. 2017 May 1;45(5):549-550. doi: 10.1016/j.ajic.2017.01.007. Epub 2017 Feb 21.
We conducted this prospective study to evaluate the incidence of, major risk factors for, and causative pathogens of catheter-related bloodstream infection (CRBSI) related to central venous catheters (CVCs) in patients undergoing gastrointestinal surgery. The overall CRBSI rate was 8.0% (38/477), equaling 5.6 CRBSIs per 1,000 catheter days. CVC duration, emergency surgery, and male sex were risk factors for CRBSI. The most common organisms were coagulase-negative staphylococci, followed Enterobacteriaceae and Candida spp.
我们进行了这项前瞻性研究，以评估胃肠手术患者中与中心静脉导管（CVC）相关的导管相关血流感染（CRBSI）的发生率、主要危险因素及致病病原体。总体CRBSI发生率为8.0%（38/477），即每1000导管日发生5.6例CRBSI。CVC留置时间、急诊手术和男性是CRBSI的危险因素。最常见的病原体是凝固酶阴性葡萄球菌，其次是肠杆菌科和念珠菌属。
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