中心静脈カテーテル関連血流感染サーベイランスの検討

  • 金澤 悦子
    東北大学病院看護部 東北大学病院感染管理室
  • 高橋 正美
    東北大学病院看護部 東北大学病院感染管理室
  • 國島 広之
    東北大学病院感染制御・検査診断学分野
  • 光武 耕太郎
    東北大学病院感染管理室 東北大学病院感染制御・検査診断学分野
  • 金光 敬二
    東北大学病院感染管理室 東北大学病院感染制御・検査診断学分野
  • 加來 浩器
    東北大学病院感染制御・検査診断学分野
  • 賀来 満夫
    東北大学病院感染管理室 東北大学病院感染制御・検査診断学分野

書誌事項

タイトル別名
  • Surveillance of Central Venous Catheter Associated Bloodstream Infections
  • チュウシン ジョウミャク カテーテル カンレン ケツリュウ カンセン サーベイランス ノ ケントウ

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抄録

Central vein catheter associated blood stream infection (CVCA-BSI) surveillance was continued in all wards of our hospital for 18 months from June 2004 to evaluate the occurrence of CVCA-BSI in our hospital and to create more effective countermeasures. The total number of inpatients undergoing CV catheterization was 2, 290, with no seasonal changes in catheter use among the inpatients in each ward. A total of 176 CVCA-BSI cases (8%) were confirmed. The incidences of CVCA-BSI were 6.1% in the medical ward, 6.0% in the surgical A ward, 2.9% in the surgical B ward, and 1.4% in the ICU, so the incidence in the medical ward was higher than in the ICU. Assessment of the medical ward found the compliance with maximal barrier precautions during catheter insertion was over 71% and the best among the 4 wards. However, Staphylococcus epidermidis was dominant at 72.2% among the isolated bacterium species in the medical ward, suggesting that the procedures of insertion and management of the catheter, and combination of drugs should be improved. Efforts to reduce CVCA-BSI must continue based on targeted surveillance, especially in wards with many patients requiring catheterization.

収録刊行物

  • 環境感染

    環境感染 22 (2), 79-84, 2007

    日本環境感染学会

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