套管针相关血流感染监控信息程序的建立与效果    FREE
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田春梅

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R197.323

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Establishment and effectiveness of information  monitoring  procedure of trocarassociated blood stream infection    FREE
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    摘要:

    目的探讨套管针相关血流感染监控信息程序的建立与效果,测试软件运行的稳定、有效与便利性。方法依托医院信息系统(HIS),利用数据库oracle 10.0及编程工具powerbiuld 9.0,以套管针置入和项目为依据,探索开发医院感染目标性监测软件。将套管针置入性外周静脉血流感染纳入监测内容,整群提取2008年9—11月外周静脉留置套管针的2 318例患者为研究对象,了解其科室及疾病分布状况,并发症与留置时间、高渗液体与一般液体引起并发症的关系等。结果利用“HIS”,实现了数据共享,从整个数据库中获取留置套管针的相关数据,为感染监测提供了监测对象的基本资料。结果显示,套管针已广泛应用于不同科室、不同疾病的患者输液中;不同并发症与留置时间有关(P=0.000),输入高渗液体与一般液体引起的并发症差异有高度显著性(P=0.000);本组监测对象中,无一例发生相关血流感染。结论该程序可以快速全面地俘获外周静脉套管针的留置情况,为其相关感染判断提供基础资料,指导临床正确留置,加强防控,减少并发症的发生。

    Abstract:

    To evaluate the establishment and effectiveness of information monitoring  procedure of trocarassociated blood stream  infection, and test the stability, effectiveness and convenience of software.MethodsAccording to hospital information system (HIS), using the database oracle10.0 and programming tool powerbiuld 9.0, based on inserted catheter and project, the objective monitoring sofeware of nosocomial infection were explored and developed.Peripheral venous blood stream infection was included in monitoring system. 2 318 patients with  peripheral vein trocar between September and November, 2008 were studied. The distribution of departments and diseases, complications and retention time, the relationship between hypertonic and general liquids resulting in  complications were analysed.ResultsThe use of HIS realized  the data sharing,comprehensive data about retention trocar were captured from database quickly for  providing basic information  about  infection monitor.The results showed that trocars had been  widely used in patients receiving infusion at different departments and with different diseases; complications were related with retention time (P=0.000); there was significant difference in complications resulted from infusion of hypertonic and general liquid (P=0.000); there was no blood stream infection in this surveillance.ConclusionThis procedure can fully and quickly capture the information about indwelling peripheral vein, provide a basis for judging catheterrelated  infection, and guide  proper retention, strengthen infection control and reduce the incidence of complications.

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田春梅,党友家,姬利萍,等.套管针相关血流感染监控信息程序的建立与效果    FREE[J]. 中国感染控制杂志,2010,9(1):31-33.
TIAN Chunmei, DANG Youjia, JI Liping, et al. Establishment and effectiveness of information  monitoring  procedure of trocarassociated blood stream infection    FREE[J]. Chin J Infect Control, 2010,9(1):31-33.

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  • 收稿日期:2009-04-25
  • 最后修改日期:2009-04-10
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  • 在线发布日期: 2010-01-30
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