Nursing experience of lumbar MRSA infection caused by deep vein catheterization: a case report
深静脉置管致腰椎MRSA感染1例护理体会

摘要

总结1例乳腺癌患者化疗期间深静脉置管感染致腰椎耐甲氧西林金黄色葡萄球菌(MRSA)感染的护理体会。将深静脉导管拔除送细菌培养，细菌培养+药敏（导管）结果示MRSA+++；腰椎MRI提示L1-L3左侧椎旁肌肿胀，其内信号异常，无液平表现，椎间盘轻度突出，神经根未受压考虑：腰椎感染。根据导管细菌培养结果，给予敏感抗生素治疗，腰部疼痛症状随之减轻。通过积极治疗、精细化护理，有助于患者认识疾病的治疗要点，帮助患者早日康复出院；分析总结深静脉导管发生感染的原因，包括外在原因和患者的自身原因，从专业护理措施优化着手，提升预防管理成效，降低深静脉置管引起感染的发生率。

Abstract

To summarize the nursing experience of lumbar methicillin-resistant Staphylococcus aureus (MRSA) infection caused by deep vein catheterization in a breast cancer patient during chemotherapy. The deep venous catheter was removed and sent for bacterial culture. The results of bacterial culture + drug sensitivity (catheter) showed MRSA+++; Lumbar MRI revealed swelling of the left paravertebral muscle at L1-L3, abnormal internal signals, anhydrous manifestations, mild disc herniation, and no nerve root compression. Consideration: lumbar infection. According to the results of bacterial culture in the catheter, sensitive antibiotics were given, and the symptoms of lower back pain were subsequently alleviated. Through active treatment and fine care, it helps patients to understand the treatment points of the disease and help patients to recover and leave the hospital soon; analyze and summarize the causes of deep venous catheter infection, including external causes and the patient's own reasons, and optimize the professional nursing measures to improve the effectiveness of prevention and management, and reduce the incidence of infection caused by deep venous catheterization.