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近来虽报道儿科监护中心(PICU)内有关插入动静脉导管的感染率较低,但仍可见到与血管内压力监测器,包括动脉及中心静脉压导管有关的院内感染。这些感染可由少见的、与水相关的、革兰氏阴性(G~-)菌引起持续性菌血症(如假单胞菌属、克雷伯氏菌属、肠杆菌属、沙雷氏菌属或肠杆菌属类脓毒病)。现报告PICU内2例与监测血管内压力有关的,由单一G~-菌引起的持续性菌血症。病例例1,女,7个月,继发于巨大房间隔缺损的肺动脉高压。因吸入性肺炎收入PICU,3周后为治疗慢性吸入行胃痛折叠术伴胃造口术放插管。术后9天放置右颈内静脉及右股动脉导管,应用万古霉素和
Although it has recently been reported that there is a low prevalence of catheterization in the Pediatric Care Center (PICU), there are still nosocomial infections associated with intravascular pressure monitors, including arterial and central venous catheters. These infections can be caused by rare, water-related, Gram-negative (G ~) bacteria cause persistent bacteremia (such as Pseudomonas, Klebsiella, Enterobacter, Serratia Or Enterobacter sepsis). Two cases of persistent bacteremia associated with monitoring of intravascular pressure within a PICU, which are caused by a single G-bacteria, are now reported. Case 1, female, 7 months, secondary to pulmonary hypertension with large atrial septal defect. PICU due to aspiration pneumonia, 3 weeks later for treatment of chronic inhalation Stomach pain Folding operation with gastrostomy Put intubation. Nine days after placement of the right internal jugular vein and right femoral artery catheter, the application of vancomycin and