中国医学装备2017，Vol.14Issue(7)：52-55,4.DOI:10.3969/J.ISSN.1672-8270.2017.07.013
两种消毒剂在预防血液透析导管相关性血流感染中的效果研究
Research of effect about two disinfectors on prevention for central line-associated blood stream infection in hemodialysis
张帆 1肖友文 1王勤1
作者信息
- 1. 乐山市人民医院肾病内科血液净化中心 四川 乐山 614000
- 折叠
摘要
Abstract
Objective: To explore the clinical effect of two disinfectors on prevention for central line-associated blood stream infection (CLABSI) in hemodialysis. Methods: 168 patients received blood purification through central venous indwelling catheter were divided into control group (82 cases) and observation group (86 cases) as random table. The patients of control group were disinfected by using iodophor disinfectant on central venous catheter and skin around puncture, while the patients of observation group were disinfected by using medical chlorhexidine gluconate (2% chlorhexidine gluconate, 70% isopropanol and 28%injection) on the same positions. In different stages, before and after central venous indwelling catheter and 24 hours after central venous indwelling catheter, the colony count and incidence of CLABSI of patients between two groups were compared. Results: There was no significant difference between the two groups for colony count around puncture before central venous indwelling catheter (t=-1.478, P>0.05). The colony count of observation group was lower than that of control group after 24 hours of disinfection. According to the diagnosis standards of CLABSI, the incidence of CLABSI in observation group was significant lower than that in control group (x2=6.048, P<0.05). Conclusion: The disinfector of chlorhexidine gluconate can decrease the incidence of CLABSI in hemodialysis and its bacteriostatic time is longer than that of iodophor disinfectant. Therefore, this method is worthy for promotion in clinical practice.关键词
葡萄糖洗必泰酸盐/碘伏消毒液/导管相关血流感染/血液透析导管Key words
Chlorhexidine gluconate/Iodophor disinfectant/Central line associated blood stream infection (CLABSI)/Hemodialysis catheter分类
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张帆,肖友文,王勤..两种消毒剂在预防血液透析导管相关性血流感染中的效果研究[J].中国医学装备,2017,14(7):52-55,4.
