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目的探讨预防和减少外周导入中心静脉置管(PICC)患儿导管相关血行感染发生措施的效果。方法调查分析本院2009年1～12月期间新生儿重症监护病房(NICU)接受PICC患儿感染发生情况及防控存在的问题,提出相应措施并于2010年期间予以落实,比较2009年和2010年导管相关血行感染发生率。结果 2009年置管12例,导管日172天,发生导管相关血行感染2例,感染发生率9.0/1000导管日,2010年置管34例,导管日411天,发生导管相关血行感染1例,感染发生率2.4/1000导管日。2010年导管相关血行感染发生率明显低于2009年(χ2=6.6,P=0.01)。结论针对感染发生原因及时进行分析,采取积极、有效、有针对性的预防控制措施,可以减少导管相关血行感染的发生。
Objective To investigate the effect of preventing and reducing catheter-related bloodstream infections in children with peripherally inserted central venous catheter (PICC). Methods To investigate and analyze the incidence and prevention and control of neonatal intensive care unit (NICU) receiving PICC in our hospital from January to December 2009, and to put forward corresponding measures and put it into effect in 2010, compared with 2009 and 2010 Annual catheter-related bloodstream infections. Results In 2009, there were 12 cases of catheterization and 172 days of catheterization. There were 2 cases of catheter-related bloodstream infection, the incidence of infection was 9.0 / 1000 catheter days, 34 cases of catheterization in 2010 and 411 days of catheterization. One case of catheter-related bloodstream infection occurred, Incidence of infection 2.4 / 1000 catheter day. The incidence of catheter-related bloodstream infections in 2010 was significantly lower than in 2009 (χ2 = 6.6, P = 0.01). Conclusions A timely, effective and targeted preventive and control measures against the causes of infection can reduce the occurrence of catheter-related bloodstream infections.