摘要
目的探讨干预措施在降低ICU中心静脉导管相关性血流感染(CRBSI)发病率中的有效性。方法 2008年6-12月ICU 222例患者进行常规目标性监测;2009年1-12月ICU 381例患者,通过建立有效的干预措施后进行监测,干预措施包括严格消毒、大手术铺巾、选用锁骨下静脉置管、延长导管在皮下潜行距离、每天评估是否可拔除导管、固定导管、采用专用的小包装棉签消毒穿刺部位和采用透气性能好的敷贴或多层纱布覆盖等,同时统计分析两个阶段的CRBSI发病率。结果采取改进干预措施前CRBSI发病率为7.6%,采取改进干预措施后CRBSI发病率逐步下降,总发病率2.7%,经2χ检验,差异有统计学意义(P<0.05)。结论采取改进预防控制干预措施能显著降低CRBSI发病率,具有重要临床意义。
OBJECTIVE To study the effectiveness of prevention and control measures in reducing the incidence rates of central venous catheter-related bloodstream infection （CRBSI） in ICU. METHODS The incidence rates of CRBSI in 222 patients from June 2008 to Dec 2008 were monitored. The rates of CRBSI in 381 cases of ICU patients from Jan 2009 to Dec 2009 were monitored after establishing the effective prevention and control measures ,including strict disinfection, surgery drape, using of subclavian venous catheters （to avoid using cannula in femoral vein as far as possible）, extending the catheter from the skin to vein, carrying out a daily assessment, using small package swab disinfection and external application of good ventilation or multi-layer gauze, etc. CRBSI rates of two stages were analyzed. RESULTS The CRBSI incidence was 7.6 % before carrying out the intervention measures, the CRBSI rate decreased to 2.7 % after the intervention measures. The difference between two groups was statistically significant （P〈 0. 05）. CONCLUSIONS To carry out the improved intervention measures can significantly reduce the incidence of CRBSI.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第12期1695-1697,共3页
Chinese Journal of Nosocomiology
关键词
重症监护病房
中心静脉导管
血流感染
干预措施
Intensive care unit
Central venous catheter
Bloodstream infection
Intervention measures
