运用风险评估法预防控制血流感染

发布时间：2018-01-15 12:24

  本文关键词：运用风险评估法预防控制血流感染　出处：《中华医院感染学杂志》2016年18期 　论文类型：期刊论文

  更多相关文章： 血流感染 风险评估

【摘要】：目的运用个性化风险评估表单预防控制血流感染。方法运用风险评估法等手段,建立个性化的血流感染定量风险评估表单,通过随机对照试验(RCT)的方式对118例患者进行试验,其中重症医学科1组(试验组)61例患者,重症医学科2组(对照组)57例患者为对照,以患者出科48h后作为患者观察终点,血流感染率作为衡量指标,比较两组患者预防控制血流感染的临床表现,进一步完善风险评估项目。结果个性风险评估表单在试验组与对照组中预防控制血流感染的作用存在明显差异(χ2=37.21,P0.05)。结论个性化风险评估表单能够通过预测感染对高风险项目进行干预,进而预防血流感染的发生,但表单的制定是以综合性医院为背景,在专科医院进行推行,结果会有一定的偏差。
[Abstract]:Objective to use personalized risk assessment form to prevent and control blood flow infection. A randomized controlled trial (RCTs) was conducted in 118 patients, including group 1 (61 patients in the experimental group) and group 2 (57 patients in the control group). The clinical manifestations of prevention and control of blood flow infection were compared between the two groups with 48 hours after the patients left the department as the observation end point and the blood flow infection rate as the measurement index. Results the effect of personality risk assessment form on preventing and controlling blood flow infection was significantly different between the experimental group and the control group (蠂 2 = 37.21). P0.05.ConclusionThe personalized risk assessment form can intervene in high risk items by predicting infection, and then prevent the occurrence of blood flow infection, but the form is made in general hospital as the background. Implementation in specialist hospitals will result in certain deviations.
【作者单位】： 第三军医大学第三附属医院野战外科研究所感染控制科;
【基金】：重庆市基础与前沿研究项目(cstc2014jcyjys10002)
【分类号】：R446.5;R197.323
【正文快照】： 血流感染(BSI)包括菌血症、败血症和脓毒症,是危及人类生命的全身性感染疾病,严重者可引起休克、弥散性血管内凝血(DIC)、多脏器功能衰竭乃至死亡。美国每年发生败血症约750 000例,并导致大约215 000例死亡[1]。近年来随着抗菌药物、激素、免疫抑制剂等药物的不合理应用,以及，

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