Author(s): Yang Bo, Xiang Yongsheng
Pages: 413-416
Year: 2016 Issue:  4
Journal: Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Version)
Keyword:  Intensive care unit; Catheterization; Bloodstream infection; Related factors;
Abstract: Objective To investigate the related factors of ICU catheter-related bloodstream infections and the preventive measures.Methods Total of 358 cases in the ICU central insert arteriovenous catheter from February 2013 to January 2015 were analyzed, retrospectively by single factor analysis, and the factors of catheter-related bloodstream infections were analyzed by Logistic multivariate analysis. Results The rate of bloodstream infection of the 358 cases was 10.34%. The age (OR = 5.214,P = 0.000), the number of puncture (OR = 3.823,P = 0.000), catheterization time (OR = 2.189,P = 0.002), indwelling position (OR = 2.227,P = 0.006) and diabetes (OR = 3.323, P = 0.000) were risk factors of catheter-related bloodstream infection, all with signiifcant differences. Among the 37 patients with bloodstream infection, 38 strains of pathogenic bacteria were isolated, including 19 strains (50%) of G-bacteria, 15 strains (39.47%) of G+ bacteria, 4 strains (10.53%) offungi.Conclusions Age, number of puncture, catheter indwelling time, location and diabetes were the risk factors for triggering ICU catheter inertia bloodstream infection, in order to reduce the incidence of catheter related bloodstream infection, and hospital should strengthen the prevention of the risk factors.