中国感染控制杂志2017，Vol.16Issue(7)：627-630,4.DOI:10.3969/j.issn.1671-9638.2017.07.008
最大化无菌屏障在预防导管相关血流感染中的作用
Role of maximal sterile barrier precaution on preventing catheter-related bloodstream infection
董磊 1刘壮 1段美丽 1李昂1
作者信息
- 1. 北京市重症医学质量控制和改进中心 首都医科大学附属北京友谊医院,北京 100050
- 折叠
摘要
Abstract
Objective To investigate the effect of maximal sterile barrier precaution during deep venous/arterial catheterization on preventing catheter-related bloodstream infection (CRBSI)in patients in the department of critical care medicine.Methods 996 patients who were hospitalized in Beijing Friendship Hospital and underwent deep ve-nous/arterial catheterization from September 2011 to April 2014 were analyzed retrospectively,patients were divided into standard sterile barrier precaution group (SSB group,September 2011-December 2012,n=560)and maximal sterile barrier precaution group (MSB group,January 2013-April 2014,n=436)based on whether they received maximal sterile barrier precaution,incidence of CRBSI and mortality were compared between two groups.Results There was no statistical difference in constitute of intubation sites between patients in SSB group and MSB group(χ2=6.750,P=0.08).The incidence of CRBSI per 1000 catheter days in SSB group and MSB group were 2.41‰(1.64‰-4.02‰)and 1.91‰(0‰-4.56‰)respectively,rank test revealed no significant difference(Z=-0.057, P>0.05);24 (4.29%)patients in SSB group and 26(5.96%)patients in MSB group developed CRBSI,difference between two groups was not statistically significant(χ2=1.447,P>0.05).The mortality in SSB group and MSB group were (18.43±5.53)% and (11.68±4.14)% respectively,independent sample t-test revealed that difference was significant(t=3.907,P<0.05).Conclusion Maximal sterile barrier precaution did not reduce the incidence of CRBSI.关键词
重症医学科/最大化无菌屏障/导管相关血流感染/医院感染Key words
department of critical care medicine/maximal sterile barrier/catheter-related bloodstream infection/healthcare-associated infection分类
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董磊,刘壮,段美丽,李昂..最大化无菌屏障在预防导管相关血流感染中的作用[J].中国感染控制杂志,2017,16(7):627-630,4.
