导管相关性血流感染的病原菌分析

Pathogens of catheter-related bloodstream infection

  • 摘要: 目的 分析导管相关性血流感染(CRBSI)的病原菌分布,为临床诊治提供参考。方法 对本院2008年9月-2010年12月中心静脉导管培养阳性的180例病例进行回顾性分析。结果 180例中56例(31.1%)为CRBSI确诊病例。来源于重症监护病房29例,结核病区8例,肾内科6例,呼吸科4例,其他科室9例;56株病原菌中革兰阴性杆菌24株(42.8%),主要为鲍曼不动杆菌和肺炎克雷伯菌;革兰阳性球菌22株(39.3%),以凝固酶阴性葡萄球菌和金黄色葡萄球菌为主;假丝酵母菌属10株(17.9%)。结论 多耐药鲍曼不动杆菌和真菌在CRBSI中出现,应引起临床高度重视。

     

    Abstract: Objective To provide the reference for the diagnosis and treatment of catheter-related bloodstream infection(CRBSI) by analyzing the distribution of pathogens in CRBSI. Methods One hundred and eighty patients with positive central vein culture of CRBSI admitted to our hospital from September 2008 to December 2010 were retrospectively analyzed. Results Of the 180 patients,56(31.1%) were diagnosed as CRBSI,including 29 in Intensive Care Unit,8 in Tuberculosis Department,6 in Department of Kidney Medicine,4 in Department of Respiratory Medicine,8 in other departments.Of the 56 pathogens,24(42.8%) were Gram-negative bacilli(mainly Acinetobacter baumannii and Klebsiella pneumoniae),22(39.3%) were Gram–positive cocci(mainly coagulase-negative staphylococci and S.aureus),and 10(17.9%) were Candida. Conclusion Great importance should be attached to the multi-drug resistant Acinetobacter baumannii and fungi which are present in CRBSI.

     

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