某醫學中心外科加護病房使用中心靜脈導管引起院內感染之相關因素探討

宋佳穎

doi:10.6834/CSMU.2005.00066

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某醫學中心外科加護病房使用中心靜脈導管引起院內感染之相關因素探討

宋佳穎 , Masters　　Advisor：袁素娟　　

繁體中文 DOI： 10.6834/CSMU.2005.00066

外科加護病房；中心靜脈導管；院內感染；導管相關感染； surgical intensive care unit ； central venous catheter ； nosocomial infection ； catheter-related infection

Abstract │ Reference (76) │ Altmetrics

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The purpose of this study is to investigate the epidemiology and the correla- tive factors of central venous catheter (CVC) infection in surgical intensive care unit. The research samples were recruited from a medical center of middle Taiwan, who was admitted to surgical intensive care unit, from January to December, 2004. This study was a purposive sampling design and the total participants were 56 patients. According to the central venous catheter (CVC) bacilli culture results, the participants were distributed into two groups. One group included 23 non-infected patients and another group included 33 patients. Data collection was used by a questionnaire and data analysis was used by SPSS 10.0 for the Window. The results showed the incidence of central venous catheter infection was 44.1‰. For the bacterium of infection, first was Acinetobacter baumannii (30.3%), the second was Meticillin resistant Staphylococcus aureus (MRSA) (21.2%), and  third was Coagulase- negative Staphylococci (15.2%). There were significant differences betweens the two groups in days of using central venous catheter (infected group 11.6±4.8 days vs. non-infected group 14.4 ± 5.9 days), in the total days of hospitalization in the surgical intensive care unit ( infected group 28.4 ± 22.0 days vs. non-infected group 14.7± 16.2 days ) and in the numbers of used antibiotics (infected group 5.9 ± 3.0. vs. non-infected group were 4.7 ± 2.0)(p < .05). The significant differences in relative factors of infections for central venous catheter (CVC) were elder above 65-year-old (odd ratio =9.1, p = .01), low education level patients (odd ratio = 0.5, p = .01), used total parenteral nutrition (odd ratio =4.0, p = .02), blood cultures positive (odd ratio =11.0, p = .04) and long term stay in surgical intensive care unit (Odd ratio 1.0, p=.04). The results of this study provide an evidence-base reference to health workers who care patients with a central venous catheter.

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