老年透析患者隧道式中心静脉置管相关血流感染临床分析.pdfVIP

韭j夔芋2QJZ至箜丝鲞笙垒塑 ·295· ．论著· 老年透析患者隧道式中心静脉置管相关血流感染 临床分析 郑洁 黄雯’ 姜立萍 bloodstream 【摘要】目的探讨老年血液透析患者隧道式中心静脉置管所致导管相关血流感染(catheter-related 析患者26例．根据血培养结果分为感染组和非感染组．分析CRBSI患者血培养分离出的病原菌及相关因素。结果 高。结论使用隧道式中心静脉置管的老年血液透析患者随留置导管时间的增加易发生CRBSI，应引起l临床医生 的重视。 【关键词】 导管相关血流感染 血液透析 of bloodstreaminfectionsinold withtunneledcentralvenoDs An catheter-related patients analysis hemodialysis catheterization ZHENG．1ie,HUANGWen,JIANGLi-ping of Medical 100730) (DepartmentNephrology，BeijingTongrenHospital，CapitalUniversity，Beijing To catheter-relatedbloodstream old with [Abstract】Objectivestudy infections(CRBSI)inhemedialysispatients old withtunneledcentralvenous tunneledcentralvenouscatheterization．Methods Twenty—sixhemodialysispatients The of old withtunneled catheterizationwereobservedand incidenceCRBSIin hemodialysispatients analyzed．Results centralvenouscatheterizationWaS1．36times／1000catheterizationstrainsbacteriawere days．Nine included 8ureus(22．2％)，Staphylococcus Staphylococcusepidermidis03．3％)，Staphylococcus coli beta—lactamasesEscherichia spectrum ty