四川医学2017，Vol.38Issue(1)：83-86,4.DOI:10.16252/j.cnki.issn1004-0501-2017.01.026
维持性血液透析患者导管相关血流感染51例临床分析
Clinical Analysis of 51 Cases of Catheter Related Bloodstream Infection in MaintenanceHemodialysis Patients
黄欣 1许志忠 2蒲超 2朱再志2
作者信息
- 1. 西南医科大学研究生部,四川 泸州646000
- 2. 眉山市人民医院肾脏内科,四川 眉山612100
- 折叠
摘要
Abstract
Objective To investigate the risk factors and distribution characteristics of the infection of catheter related bloodstream infection in maintenance hemodialysis patients. Methods The prevalence,mortality,pathogenic bacteria distribution and related risk factors of catheter related bloodstream infections in 905 patients with end stage renal disease were retrospectively analyzed. Results ①51 cases of infection,the prevalence rate of 5. 6%;3 cases of death,the mortality rate of 5. 9%.②The blood and peripheral blood cultures of 51 patients with infection were consistent with the pathogen,among which 42 strains(82. 4%) of gram positive bacteria,and 9 strains(17. 6%) of gram negative bacteria.③The incidence of infection was significantly associated with patient age(P=0. 008),hemoglobin(P=0. 003)and albumin levels(P=0. 000),catheter retention time(P=0. 000),and underlying disease(P=0. 000). Conclusion After the infection we should be positive to use the corresponding antibiotics com-bined with heparin sealing tube to control the catheter infection according to the drug sensitivity results.关键词
维持性血液透析/导管相关血流感染/危险因素Key words
maintenance hemodialysis/catheter related bloodstream infection/risk factors分类
医药卫生引用本文复制引用
黄欣,许志忠,蒲超,朱再志..维持性血液透析患者导管相关血流感染51例临床分析[J].四川医学,2017,38(1):83-86,4.
