Risk factors for healthcare-associated infection in patients after extracorporeal membrane oxygenation procedure
10.3969/j.issn.1671-9638.2014.04.005
- VernacularTitle:体外膜肺氧合术后患者医院感染危险因素分析
- Author:
Weiying ZENG
;
Guosui XIAO
;
Zhenfeng ZHONG
;
Lijuan RONG
- Publication Type:Journal Article
- Keywords:
extracorporeal membrane oxygenation;
artificial heart-lung;
healthcare-associated;
risk factor;
patho-gen;
infection site
- From:
Chinese Journal of Infection Control
2014;(4):212-214
- CountryChina
- Language:Chinese
-
Abstract:
Objective To realize the incidence of healthcare-associated infection(HAI)in patients after receiving extracorporeal membrane oxygenation(ECMO)procedure,and to evaluate the related factors for HAI.Methods Clinical data of patients receiving ECMO from January 2003 to December 2012 were collected and analyzed retro-spectively.Results Of 43 patients receiving ECMO,15 (34.88% )developed 24 times(55.81% )of HAI. The main HAI site was lower respiratory tract(n= 12,50.00% ),followed by blood stream(n= 6,25.00% ),skin and soft tis-sue(n= 5,20.83% ).A total of 28 isolates of pathogens were detected,gram-negative bacilli were 19(67.86% )iso-lates,gram-positive cocci 7(25.00% ),and fungi 2(7.14% );pathogens were mainly isolated from specimens of sputum(n= 12,42.86% ),blood (n= 9,32.14% )and wound secretion(n= 6,21 .43% ). The incidence of postopera-tive HAI in ECMO patients was related with patients’age,duration of ECMO,complication,mechanical ventila-tion,tracheal intubation or tracheotomy,and indwelling urinary catheter.Conclusion HAI in patients receiving EC-MO is high,hospital should take corresponding prevention and control measures targeting to the related risk factors of infection,so as to reduce the incidence of HAI after the ECMO.
