目标性监测与综合干预对降低非ICU患者导尿管相关尿路感染的效果

发布时间：2017-12-31 11:34

  本文关键词：目标性监测与综合干预对降低非ICU患者导尿管相关尿路感染的效果　出处：《中国感染控制杂志》2017年08期 　论文类型：期刊论文

  更多相关文章： 目标性监测 综合干预 非重症监护病房 导尿管相关尿路感染

【摘要】：目的评价采取目标性监测与综合干预措施对降低非重症监护病房患者导尿管相关尿路感染(CAUTI)的效果。方法 2015年4季度对该院临床科室留置导尿管患者进行基线调查(干预前),查找导致患者发生CAUTI的危险因素,2016年开始制定目标性监测方案及综合干预措施(干预后),比较干预前后CAUTI发病率。结果采取干预措施后,手卫生的依从率由2015年4季度的78.51%提高至2016年3季度的92.99%和2016年4季度的90.73%(χ~2值分别为7.342、3.998,均P0.05),患者导尿系统处置正确率由2015年4季度的72.83%提高至2016年4度的95.44%(χ~2=30.267,P0.05)。共监测12 067例留置导尿管患者,CAUTI发病率由2015年4季度(干预前)的1.03‰(24/23 313)下降至2016年4季度(干预后)的0.53‰(14/26 595),两者比较差异有统计学意义(χ~2=4.126,P=0.042)。结论通过目标性监测,提升留置导尿管患者导尿系统相关的环节质量,能有效降低非重症监护病房患者CAUTI发病率。
[Abstract]:Objective to evaluate the effect of targeted monitoring and comprehensive intervention on the reduction of urinary catheter associated urinary tract infection in non-ICU patients. Methods in the fourth quarter of 2015, the patients with indwelling urethral catheter in clinical department of our hospital were investigated at baseline (before intervention). To find out the risk factors leading to the occurrence of CAUTI in patients, the target surveillance program and comprehensive intervention (after intervention) were established in 2016. The incidence of CAUTI was compared before and after intervention. The compliance rate for hand hygiene increased from 78.51% in the fourth quarter on 2015 to 92.99% in the third quarter on 2016 and 90.73 in the fourth quarter of 2016 (. 蠂 2 values were 7.342 respectively. The correct rate of catheterization was increased from 72.83% in 2015 to 95.44 in 2016 (蠂 2 + 30.267). A total of 12 067 patients with indwelling catheter were monitored. The incidence of CAUTI decreased from 1.03 鈥，

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