Central venous catheter-related bloodstream infection in mass severe burn patients
10.3969/j.issn.1671-9638.2015.03.008
- VernacularTitle:批量重度烧伤患者中心静脉置管相关血流感染病例分析
- Author:
Huimin HUANG
;
Xiaoli XU
;
Xiangyi YIN
;
Hongmei FANG
;
Niuyan NIE
;
Xiaoyue SHEN
- Publication Type:Journal Article
- Keywords:
central venous catheter;
severe burn;
catheter-related bloodstream infection;
healthcare-associated in-fection
- From:
Chinese Journal of Infection Control
2015;(3):181-183
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the occurrence of central venous catheter-related bloodstream infection(CRB-SI)in mass severe burn patients,evaluate related risk factors for infection,and effectiveness of prevention and con-trol measures.Methods In August 2014,9 cases of severe burn patients were rescued in a hospital,all patients re-ceived CVC,infection prevention and control intervention measures were performed during the whole process of catheterization.Results All patients received 30 episodes of CVC,total CVC-days were 227 days,bacterial culture for three-cavity catheters of femoral veins in 2 patients were positive,incidence of CRBSI was 8.81 ‰;1 patient was isolated Enterococcus faecium ,1 isolated both Acinetobacter baumannii and Stenotrophomonas maltophilia .2 CRB-SI patients received femoral vein catheterization,catheterization site was trauma surface,duration of catheterization were both ≥7 days,both used three-cavity catheters,and third degree burns were ≥60%,both patients were cured after timely removal of catheters and receiving of antimicrobial agents.Conclusion CVC is helpful for long term, safe and effective fluid infusion,but it can cause CRBSI;infection prevention and control intervention for patients receiving CVC during the whole process of catheterization can reduce the occurrence of CRBSI.
