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Analysis on risk factors and prevention strategy of catheterrelated blood stream infection of ICU patients |
Zhang Qingnan, Qian Xiaojia, Chen Jie. |
Department of ICU,Hangzhou Red Cross Hospital, Hangzhou 310003,China |
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Abstract Objective To explore the correlated risk factors of catheter-related blood stream infection (CRBSI) of ICU patients, and provided prevention measures for CRBSI.Methods A retrospective investigation was performed on 964 patients with PICC catheterization in the ICU. They were divided into CRBSI group (63 cases) and non-CRBSI group (901 cases) according to whether or not happening CRBSI. The incidence rate of CRBSI were described, and the correlated risk factors of CRBSI were screened by χ2 test and multiple factors logistic regression method.Results The incidence rate of CRBSI of ICU patients with PICC was 6.54% (63/964). Multiple factors analysis result indicated that the risk factors of CRBSI included in hypertension (OR=3.251), cardiovascular disease (OR=2.298), admission APACHE II score (OR=3.699), catheter indwelling time (OR=4.424), number of operating personnel (OR=3.508) and serum albumin level (OR=2.951).Conclusion PICC patients in ICU have a high incidence rate of CRBSI, and it is one of most important complication of PICC patients. In view of the above risk factors, we should early adopt prevention measures, to cut down incidence rate of CRBSI and improve prognosis of ICU inpatients.
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Received: 16 April 2019
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