Research Assembling
Analysis of risk factors for swan-ganz intravascular catheter-related infections
Qiangli Xie, Chuhuan Zhao, Xiafei Feng, Wenyu Li, Zaixing Zheng, Shengjie Wu
Published 2016-03-26
Cite as Chin J Mod Nurs, 2016, 22(9): 1298-1301. DOI: 10.3760/cma.j.issn.1674-2907.2016.09.032
Abstract
ObjectiveTo analyze risk factors of Swan-Ganz catheter-related bloodstream infections (CRBSI) in patients with severe heart disease in Cardiac Care Unit (CCU).
MethodsA total of 768 patients undergoing indwelling Swan-Ganz catheterization in CCU between January 2013 to December 2014 were enrolled in this study. Bacterial culture of blood in catheter and catheter tip that 5 cm distance from distal end were performed if the patients were suspected of intravascular catheter-related infections or the catheter was removed from the patients for more than 7 days.
ResultsDuring 3 050 catheter days, 23 of 768 patients were diagnosed of CRBSI(7.5 ‰), and the infection rate was about 3%.The top 5 pathogenic bacteria were staphylococcus aureus, staphylococcus haemolyticus, staphylococcus epidermidis, albicans saccharomyces and klebsiella pneumoniae. The patient′s gender, ages, with diabetes or not, and usage of antibiotic during catheterization had no correlation with catheter related infection (P>0.05), but the skin of whole body clean or not before catheterization, the length of catheterization had correlation with catheter related infection (P<0.05). Multivariate logistic regression analysis showed that the whole bode skin clean before catheterization was the protective factor for CRBSI, and long catheter indwelling time and combined antibiotic treatment during catheterization were the risk factors for CRBSI (P<0.05).
ConclusionsThe incidence of CRBSI in patients with severe heart disease is related to the catheter indwelling time, and skin clean before indwelling which are able to effectively reduce the incidence of CRBSI.Antibiotic treatment during catheterization is not beneficial for decreasing the incidence of CRBSI.
Key words:
Risk factors; Severe heart disease patient; Swan-Ganz catheter; Related bloodstream infection
Contributor Information
Qiangli Xie
Cardiac Care Unit, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China
Chuhuan Zhao
Cardiac Care Unit, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China
Xiafei Feng
Cardiac Care Unit, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China
Wenyu Li
Cardiac Care Unit, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China
Zaixing Zheng
Internal Medicine-Cardiovascular Department, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China
Shengjie Wu
Internal Medicine-Cardiovascular Department, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China
