Clinical analysis of central venous catheter-related infections in patients in the emergency ICU
10.5847/wjem.j.issn.1920-8642.2013.03.007
- Author:
Min CHEN
1
;
Ri-Jin ZHU
;
Feng CHEN
;
Xiao-Pin WANG
;
Jun KE
Author Information
1. Department of Emergency Medicine
- 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:
World Journal of Emergency Medicine
2013;4(3):196-200
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Catheter-related infection (CRI) of the central vein is a common cause of nosocomial infection. This study was undertaken to investigate the pathogen culturing and risk factors of CRI in emergency intensive care unit (EICU) in order to provide the beneficial reference.METHODS:From January 2008 to December 2010, a total of 1363 patients were subjected to catheterization. In these patients, the peak CRI rate of the patients was determined by bacterial cultivation and blood bacterial cultivation.RESULTS:CRI happened in 147 of the 1363 patients using the central venous catheter. The peak rate of CRI was 10.79%, with an incidence of 3.05 episodes per 1000 catheter days. Of the 147 patients, 46.94% had gram-negative bacilli, 40.14% had gram-positive cocci, and 12.92% had fungi. Unconditional logistic regression analysis suggests that multiple catheterization, femoral vein catheterization, the application of multicavity catheter, and the duration of catheterization were the independent risk factors for CRI.CONCLUSION:The risk factors for catheter-related infections should be controlled to prevent the occurrence of nosocomial infection.