重症监护病房医务人员对中心导管相关血流感染监测知识的知晓情况
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武迎宏

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R181.3+2

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中美新发和再发传染病合作项目(5U2GGH000018)


Health care workers’ understanding on central lineassociated bloodstream infection monitoring in intensive care unit
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    摘要:

    目的了解重症监护病房(ICU)医务人员对中心导管相关血流感染(CLABSI)知识掌握情况,以及CLABSI监测模块的操作情况,为监测系统评估提供相应的依据。方法采取匿名、独立完成问卷的方式,对北京市具备ICU CLABSI监测功能的28所医院负责CLABSI监测的54名医务人员进行调查。结果共收回问卷54份,均有效。被调查医务人员负责CLABSI监测的平均工作年限为3年,关于CLABSI和导管相关血流感染(CRBSI)的定义知晓率为83.33%(45名),仍有14.81%(8名)的医务人员不清楚两者的内容及区别。61.11%(33名)的医务人员仍在使用纸质类表格记录监测情况,33.33%(18名)采用电子表格+人工录入。51名(94.45%)医务人员了解CLABSI诊断标准;除高热和寒战外,对CLABSI患者其他症状/体征的知晓率在85%左右。医务人员对CLABSI感染控制措施相关知识(插管技术、规范操作、管路维护、缩短置管时间、有效皮肤消毒)的知晓率为94.45%~100.00%。结论此次调查提示,监测人员CLABSI相关知识水平和系统操作能力仍有待提高,CLABSI监测系统模块有待进一步评估。

    Abstract:

    ObjectiveTo investigate health care workers’ (HCWs) understanding on knowledge about central lineassociated bloodstream infection (CLABSI) in intensive care units (ICUs) and operation of CLABSI monitoring system module, so as to provide corresponding basis for evaluation of the monitoring system. MethodsAnonymous selfcompletion questionnaires were used to investigate 54 HCWs who were responsible for the monitoring of CLABSI in the ICUs of 28 hospitals in Beijing.ResultsA total of 54 questionnaires were retrieved, and all were available.  The average working experience of HCWs responsible for CLABSI monitoring was 3 years, 83.33%(n=45)of  HCWs knew the definitions of CLABSI and catheterrelated bloodstream infection(CRBSI), there were still 14.81% (n=8) of HCWs didn’t know the contents and the difference between CLABSI and CRBSI. 61.11%(n=33)of HCWs still used paper form for recording monitoring data, 33.33%(n=18) adopted spreadsheet+ manual input. 51(94.45%)HCWs understood CLABSI diagnostic criteria, 85% of HCWs knew other symptoms/signs of CLABSI besides high fever and chill. Awareness of CLABSI infection control measurerelated knowledge (intubation technique, standard manipulation, pipeline maintenance, reducing catheterization time, and effective skin disinfection) was 94.45%-100.00%. ConclusionThe CLABSIrelated knowledge and system operation ability of the monitoring personnel should be improved, CLABSI monitoring system module needs to be further evaluated.

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张蕊,武迎宏,陈虹,等.重症监护病房医务人员对中心导管相关血流感染监测知识的知晓情况[J]. 中国感染控制杂志,2016,15(11):838-841. DOI:10.3969/j. issn.1671-9638.2016.11.008.
ZHANG Rui, WU Yinghong, CHEN Hong, et al. Health care workers’ understanding on central lineassociated bloodstream infection monitoring in intensive care unit[J]. Chin J Infect Control, 2016,15(11):838-841. DOI:10.3969/j. issn.1671-9638.2016.11.008.

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  • 收稿日期:2016-09-18
  • 最后修改日期:2016-09-30
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  • 在线发布日期: 2016-11-30
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