Background: In 2008, the catheter associated urinary tract infection (CAUTI) rate at King Fahad Medical City (KFMC) was 3.8/1000 urinary catheter days with some variability between departments. KFMC is the newest tert...Background: In 2008, the catheter associated urinary tract infection (CAUTI) rate at King Fahad Medical City (KFMC) was 3.8/1000 urinary catheter days with some variability between departments. KFMC is the newest tertiary, referral and teaching hospital with 1100 beds in Riyadh, Saudi Arabia. The Infection Control Department at KFMC decided to implement a quality improvement project by applying the bladder bundle in our general ward (Non-ICU) using the model of National Health Service (NHS) hospitals in England even though there was good evidence supporting this infection control practice only in ICU patients?[1][2]. Our objective was to decrease CAUTI in two non-ICU units by at least 50% in one year. Study design: This was a prospective interventional quality improvement project aiming to decrease CAUTI in two non-ICU inpatient units with a total of?193 beds including children and adult patients. Our intervention includes insertion and maintenance components. Results: CAUTI decreased significantly in both departments from 23 infections in?2008 (Rate: 5.03/1000 CDs) to 12 infections in 2009 (Rate: 1.92/1000 CDs) (P?= 0.0001);in RH (Rehabilitation hospital) from 18 in 2008 (Rate: 4/1000 CDs) to 11 infections in 2009 (Rate: 0.36/1000?CDs) (P?< 0.0001) and in NSI (National Neuroscience Institute) from 5 in 2008 (Rate: 5.42/1000?CDs) to 1 infections in 2009 (Rate: 3.16/1000 CDs) (P?< 0.0001). Conclusion: Implementation of urinarycatheter insertion and daily care bundles, and creation of a competitive spirit among employees were associated with a significant reduction in catheter associated urinary tract infections.展开更多
目的探讨重症监护室(intensive care unit,ICU)患者非骨突部位皮肤损伤的原因,并提出针对性的护理对策。方法采用回顾性调查的方法,了解2007年1月-2009年12月ICU收治的1352例患者住院期间发生非骨突部位皮肤急性损伤的情况,并总结分析...目的探讨重症监护室(intensive care unit,ICU)患者非骨突部位皮肤损伤的原因,并提出针对性的护理对策。方法采用回顾性调查的方法,了解2007年1月-2009年12月ICU收治的1352例患者住院期间发生非骨突部位皮肤急性损伤的情况,并总结分析其发生的原因。结果患者非骨突部位皮肤急性损伤发生率为2.7%;发生皮肤急性损伤与患者侵入性管道固定、应用保护带、管道线路压迫、无创血压及血氧饱和度监测、大小便刺激及护士预防意识及措施不足相关。结论 ICU患者非骨突部位发生皮肤急性损伤与其自身存在多种高危因素及预防措施不足有关,因此应根据患者发生皮肤损伤的相关因素,制订针对性的措施,以便减少患者非骨突部位皮肤急性损伤的发生率。展开更多
文摘Background: In 2008, the catheter associated urinary tract infection (CAUTI) rate at King Fahad Medical City (KFMC) was 3.8/1000 urinary catheter days with some variability between departments. KFMC is the newest tertiary, referral and teaching hospital with 1100 beds in Riyadh, Saudi Arabia. The Infection Control Department at KFMC decided to implement a quality improvement project by applying the bladder bundle in our general ward (Non-ICU) using the model of National Health Service (NHS) hospitals in England even though there was good evidence supporting this infection control practice only in ICU patients?[1][2]. Our objective was to decrease CAUTI in two non-ICU units by at least 50% in one year. Study design: This was a prospective interventional quality improvement project aiming to decrease CAUTI in two non-ICU inpatient units with a total of?193 beds including children and adult patients. Our intervention includes insertion and maintenance components. Results: CAUTI decreased significantly in both departments from 23 infections in?2008 (Rate: 5.03/1000 CDs) to 12 infections in 2009 (Rate: 1.92/1000 CDs) (P?= 0.0001);in RH (Rehabilitation hospital) from 18 in 2008 (Rate: 4/1000 CDs) to 11 infections in 2009 (Rate: 0.36/1000?CDs) (P?< 0.0001) and in NSI (National Neuroscience Institute) from 5 in 2008 (Rate: 5.42/1000?CDs) to 1 infections in 2009 (Rate: 3.16/1000 CDs) (P?< 0.0001). Conclusion: Implementation of urinarycatheter insertion and daily care bundles, and creation of a competitive spirit among employees were associated with a significant reduction in catheter associated urinary tract infections.
文摘目的探讨重症监护室(intensive care unit,ICU)患者非骨突部位皮肤损伤的原因,并提出针对性的护理对策。方法采用回顾性调查的方法,了解2007年1月-2009年12月ICU收治的1352例患者住院期间发生非骨突部位皮肤急性损伤的情况,并总结分析其发生的原因。结果患者非骨突部位皮肤急性损伤发生率为2.7%;发生皮肤急性损伤与患者侵入性管道固定、应用保护带、管道线路压迫、无创血压及血氧饱和度监测、大小便刺激及护士预防意识及措施不足相关。结论 ICU患者非骨突部位发生皮肤急性损伤与其自身存在多种高危因素及预防措施不足有关,因此应根据患者发生皮肤损伤的相关因素,制订针对性的措施,以便减少患者非骨突部位皮肤急性损伤的发生率。
