Clinical analysis of central venous catheter related infection (CRI)
10.3760/cma.j.issn.1671-0282.2013.04.004
- VernacularTitle:中心静脉导管相关性感染临床分析
- Author:
Min CHEN
;
Rijin ZHU
;
Feng CHEN
;
Xiaopin WANG
;
Jun KE
- Publication Type:Journal Article
- Keywords:
Central venous;
Cather related infection;
Femoral vein catheter;
Multiple lumen catheter;
Long term indwelling catheter;
Long term use of antibiotics;
Emergency intensive care unit;
Nosocomial infection
- From:
Chinese Journal of Emergency Medicine
2013;22(4):352-355
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the characteristics of pathogens and risk factors of the catheterassociated infection (CAI) in emergency ICU (EICU) in order to design an appropriately therapeutic strategy for the future.Methods From January 2008 to December 2010,a total of 1363 patients were enrolled for this retrospective study.Blood sample taken from the vein with indwelling catheterization and the tips of catheters cut in 5 cm after withdrawn from the veins in 1363 patients were collected for bacterial culture.Results Of 1363 catheters,pathogens were found in 147 (10.79％) after venous catheterization.The daily occurrences of CAI were 3.05 ones per 1000 catheters.Of 147 cases of infection,46.94％ pathogens were gram-negative bacilli,40.14％ gram-positive cocci,and 12.92％ fungi.Unconditional Logistic regression analysis suggested that repeated catheterization,femoral vein catheterization,the application of multi-lumen catheter and long-term indwelling catheterization were the independent risk factors responsible for CAI.Conclusions The risk factors responsible for catheter related infections should be controlled to prevent the occurrence of nosocomial infection.
