Analysis of risk factors of infection in newborns with different catheterization and the effect of intubation time on infection
10.3760/cma.j.issn.1672-7088.2018.08.002
- VernacularTitle:新生儿不同置管方式并发感染风险因素的分析及置管时间对感染的影响
- Author:
Qingjuan MENG
1
;
Fan YANG
Author Information
1. 中国医科大学附属盛京医院第三新生儿病房
- Keywords:
Central venous catheter;
Duration;
Neonatal intensive care unit
- From:
Chinese Journal of Practical Nursing
2018;34(8):565-568
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study comparison of central line-associated bloodstream infection (CLABSI)with different catheterization methods of neonates and the comparison of each type of catheter and the general condition of neonates and the influence of catheter time on CLABSI. Methods A total of 797 neonates with umbilical venous catheter(UVC)or PICC were studied from August 2014 to September 2016,among them,278 were adopted with UVC(UVC group),262 were adopted with PICC(PICC group), and 263 were adopted with UVC and PICC catheter(combination group).Respectively recorded all the neonates′general situation,analized the differences of each group,and recorded each group of 4 days of CLABSI number, and evaluated the 10th day of CLABI progress of each group. Results There were significant differences among 3 groups of newborns in gestational weeks, birth weight, the number of respiratory distress syndrome at birth, the number of sepsis at birth, the number of cesarean delivery babies and the number of deaths were statistically significant (F=5.998, 4.943, χ2=5.160-8.970, all P <0.05). The incidence of CABSI in fourth days was 1.1% (3/278) in UVC group, 1.9%(5/262) in PICC group,and 3.0%(8/263)in combination group.On the tenth day,the incidence of CABSI was 5.4%(15/278)in UVC group,2.7%(7/262)in PICC group,and 5.1%(10/196)in combination group removing UVC, while 10.4% (7/67) in combination group without removing UVC. The PICC group and the combination group removing UVC had no significant difference in CABSI infection(P>0.05)and in UVC group,the incidence rate increased significantly (χ2=2.85, P < 0.05), combination group without removing UVC increased significantly in patients with CABSI infection and the difference was statistically significant(χ2=6.31,P<0.01). Conclusions UVC group had more risk of CABSI compared with PICC,we can choose UVC for short term,and PICC catheter for long term.
