摘要
目的探讨肿瘤患者经外周置入中心静脉导管(PICC)相关性感染的影响因素及预防对策,为预防导管感染提供指导。方法回顾性分析医院2011年1月-2013年6月实施PICC导管的276例肿瘤患者临床资料,分析PICC导管相关性感染率,并选择性别、年龄、操作人员经验等9个变量进行单因素分析,并应用logistic回归分析肿瘤患者PICC导管相关性感染的危险因素,制定预防对策。结果 276例患者发生感染22例,感染率为7.97%;经单因素logistic回归分析,年龄、操作人员经验、穿刺次数、导管留置时间、特殊药物应用、肿瘤TNM分期、应用激素7个变量与PICC导管相关性感染有关(P<0.05)。结论 PICC导管相关性感染率较高,应针对以上因素采取有效措施积极进行预防,降低PICC导管相关性感染的发生。
OBJECTIVE To explore the influencing factors for peripherally inserted central venous catheter （PICC）associated infections in the tumor patients and put forward prevention countermeasures, so as to provide guidance for prevention of catheter-associated infections. METHODS From Jan 2011 to Jun 2013, the clinical data of 276 tumor patients who underwent the PICC indwelling in the hospital were retrospectively analyzed, then the incidence of PICC-associated infections was analyzed, the univariate analysis was performed for 10 variables including the gender, age, and experience of operating staff, the logistic regression analysis was performed to determine the risk factors for the PICC-associated infections, and the prevention countermeasur′s were developed. RESULTS The infections occurred in 22 of 276 patients with the infection rate of 7.97%. The univariate logistic regression analysis indicated that the PICC-associated infections were accociated with the age, experience of operating personnel, times of puncture, catheter indwelling time, use of special drugs, TNM staging of tumor, and use of hormone （P〈0.05）. CONCLUSION The incidence of PICC-associated infections is high. It is necessary to take effective prevention measures according to the risk factors so as to reduce the incidence of PICC-associated infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第17期4260-4261,4303,共3页
Chinese Journal of Nosocomiology
基金
海南省卫生厅科研基金资助项目(琼卫2010-7)
关键词
经外周置入中心静脉导管
感染
危险因素
预防对策
Peripherally inserted central venous catheter Infection
Risk factor
Prevention countermeasure
