摘要
目的评价综合干预措施对综合ICU导管相关性血流感染(CRBSI)发生率的影响。方法对2009年7月-2011年12月入住ICU>24h、年龄>1月龄的患者进行前瞻性监测,分干预前、干预中、干预后期3个阶段;每天由护理组长收集患者相关资料,感染控制护士≥2次/周查看医护人员的操作;干预期实施综合干预措施有:培训教育、严格执行手卫生、置管采用最大无菌屏障、消毒剂消毒皮肤3次自然干燥后穿刺或注射等,统计并比较干预前后CRBSI发生率。结果 ICU住院患者2826例,入住20 037d,静脉导管使用率为81.8%,CRBSI发生率为2.2/1000d;干预前后CRBSI平均发生率从5.4/1000d下降至1.9/1000d,CRBSI平均发生率降低了64.80%(χ2=9.069,P=0.003)。结论持续目标监测,实施综合干预措施,能有效减少CRBSI的发生。
OBJECTIVE To evaluate the influence of comprehensive interventions on the incidence rate of catheter-related blood stream infections（CRBSI）.METHODS From Jul 2009 to Dec 2011,the patients age over one mouth old whose ICU length of stay was over 24 hours were prospectively monitored in the three stages of before,within and after the inventions.The patient′s data were recorded by the head nurse,the nurses in the infection control department checked the operations of the medical personnel over 2 time per week and everyday.The comprehensive interventions taken during the intervention period included as follows： the training and education,rigid implementation of hand hygiene,maximum sterile barrier for catheterization,and puncture or injection after the natural drying for three time of skin disinfections.Statistical analysis was performed for the incidence of CRBSI before and after the interventions.RESULTS There were 2826 hospitalized patients in the ICU with the ICU stay of 20 037 days,81.8% of the patients used catheter,the incidence of CRBSI was 2.2/1000 d,with the average incidence decreasing from 5.4/1000 d before the interventions to 1.9/1000d after the interventions,the average incidence of CRBSI decreased by 64.80%（χ2=9.069,P=0.003）.CONCLUSION The continuous targeted monitoring and implementation of comprehensive interventions can effectively reduce the incidence of CRBSI.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第4期757-758,777,共3页
Chinese Journal of Nosocomiology
关键词
重症监护病房
导管相关性血流感染
干预
Intensive care unit
Catheter-related bloodstream infection
Intervention
