Analysis of the risk factors associated with central venous catheter-related infections

Document Type

Article

Publication Date

11-1-2009

Abstract

Objective: To analyze the risk factors of central venous catheter-related infections (CVC-RI) in severe patients in ICU to provide data for better control of CVC-RI. Methods: The clinical data of 560 patients receiving central venous catheterization between January 2003 and October 2008 were reviewed retrospectively. All patients were divided into CVC-RI (with infection) group and no-CVC-RI (without infection) group. Results: The prevalence of CVC-RI was 19. 6% in the 560 patients. Gram-positive cocci accounted for 51.8%, gram-negative bacilli 41.8% and fungus 6.4%. The serum albumin and glucose level, duration of catheter placement, ICU stay and episodes of blood purification in CVC-RI group were significantly higher than no-CVC-RI group (P<0.05). Conclusions: The risk factors of CVC-RI in ICU patients include serum albumin, glucose, duration of catheter placement, ICU stay and episodes of blood purification. Strict aseptic technique, timely extubation and appropriate antibiotic therapy are useful for improving the cure rate of CVC-RI.

Publication Source (Journal or Book title)

Chinese Journal of Infection and Chemotherapy

First Page

451

Last Page

453

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