Objective To explore the bacterial distribution and risk factors for catheter-related bloodstream infection in hemodialysis patients. Methods We retrospectively studied 219 patients established a central venous catheter as vascular access for hemodialysis in our hospital from 2008 to 2011. The incidence of catheter-related bloodstream infection, the pathogen distribution and the related risk factors for the infection were analyzed. Results Thirty-four (15.52%) of the 219 patients with a central venous catheter suffered from catheter-related bloodstream infection, of which the main pathogens were Gram-positive bacteria (21 cases, 61.76%), including staphylococcus epidermidis 13 cases (38.23%) and staphylococcus aureus 5 cases (14.70%). The rate of catheter-related bloodstream infection was similar between the patients with femoral vein catheters and those with internal jugular vein catheters (x2=0.914, P=0.339). Catheter-related bloodstream infection was positively related to indwelling time of catheters (x2=13.350, P=0.001), but was unrelated to the underlying diseases (x2=0.284, P=0.991). Conclusions The main pathogens responsible for the catheter related bloodstream infection were Gram-positive bacteria. The indwelling time of catheters was the risk factor for catheter-related bloodstream infection.%目的 探讨血液透析患者导管相关血流感染的菌群分布及相关危险因素.方法 回顾性分析天津市宝坻区人民医院2008～2011年以中心静脉置管建立血管通路进行血液透析的患者219例,分析导管相关血流感染的发生率,病原菌分布及相关危险因素.结果 在21 9例行中心静脉置管患者中,发生导管相关血流感染34例,占15.52％,病原菌分布以革兰氏阳性菌为主,占感染总数的61.76％,其中表皮葡萄球菌13株,占38.23％,金黄色葡萄球菌5株,占14.70％,股静脉插管的感染率并不显著高于颈内静脉插管(x2=0.914,P=0.339);导管留置时间与导管相关性血流感染呈正相关(x2=13.350,P=0.001);与基础疾病无明显相关性(x2=0.284,P=0.991).结论 导管相关血流感染病原菌分布以革兰氏阳性菌为主,发生导管相关血流感染的危险因素与导管留置时间有关.
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