在同一个孩子中发生的多重中线相关血流感染 (CLABSI) 的频率:五年的经验
概括
重复的中央线相关血流感染 (CLABSI) 是常见的,影响超过四分之一的感染. 以前的CLABSI显著增加了儿科患者未来感染的风险.
科学领域:
- 传染病流行病学 传染病流行病学
- 儿科卫生保健的质量 儿科卫生保健的质量
背景情况:
- 中枢线相关的血流感染 (CLABSI) 是儿科医疗保健的一个重大问题.
- 了解同一患者中CLABSI的复发是有效的感染控制的关键.
研究的目的:
- 在五年时间内分析儿科患者多重CLABSI的频率.
- 评估以前的CLABSI作为后续感染风险因素的影响.
- 评估复发性CLABSI对整体感染率计算的影响.
主要方法:
- 一个五年的机构CLABSI监测数据的回顾性分析.
- 包括中央线日,CLABSI计数,以及粘膜屏障损伤 (MBI) 和非MBI CLABSI的分类.
- 计算CLABSI的比例,归因于多次感染的患者.
主要成果:
- 在5年内,在119名儿科患者中发生了138例CLABSI.
- 26.1%的CLABSI发生在多次感染的患者中; 13.8%是重复感染.
- 除了重复的CLABSI,计算的CLABSI率减少了13.7%.
结论:
- 同一个患者的复发性CLABSI是频繁的,并对报告的感染率产生重大影响.
- 患有CLABSI的病史是未来患有CLABSI的关键风险因素.
- 在CLABSI的监测和报告方法中,应考虑重复感染.
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