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
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李玉森

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R181.3+2

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Effect of targeted monitoring and comprehensive intervention on reducing catheterassociated urinary tract infection in patients in nonintensive care unit
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    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%(χ2值分别为7.342、3.998,均P<0.05),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%(χ2=30.267,P<0.05)。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(χ2=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:

    ObjectiveTo evaluate the effect of targeted monitoring and comprehensive intervention measures on reducing the occurrence of catheterassociated urinary tract infection(CAUTI) in patients in nonintensive care unit(NonICU). MethodsIn quarter 4 of 2015, patients with indwelling urinary catheter in clinical departments were conducted a baseline survey(before intervention), risk factors for CAUTI in patients were analyzed, targeted monitoring programmes and comprehensive intervention measures were initiated in 2016(after intervention), incidence of CAUTI before and after intervention was compared. ResultsAfter taking intervention measures, hand hygiene compliance rate increased from 78.51% in quarter 4 of 2015 to 92.99% in quarter 3 of 2016 and 90.73% in quarter 4 of 2016(χ2=7.342, 3.998,respectively, both P<0.05),the correct disposal rate of patients’ urinary catheterization system increased from 72.83% in quarter 4 of 2015 to 95.44% in quarter 4 of 2016(χ2=30.267,P<0.05). A total of 12 067 patients with indwelling urinary catheter were monitored, incidence of CAUTI dropped from 1.03‰(24/23 313)in quarter 4 of 2015 (before intervention) to 0.53‰(14/26 595)in quarter 4 of 2016(after intervention), difference was statistically significant(χ2=4.126,P=0.042). ConclusionImproving the quality of urinary catheterization system in patients with indwelling catheter through targeted monitoring can effectively reduce the incidence of CAUTI in patients in NonICU.

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孔立,李玉森,赵战魁,等.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[J]. 中国感染控制杂志,2017,16(8):721-725. DOI:10.3969/j. issn.1671-9638.2017.08.007.
KONG Li, LI Yusen, ZHAO Zhankui, et al. Effect of targeted monitoring and comprehensive intervention on reducing catheterassociated urinary tract infection in patients in nonintensive care unit[J]. Chin J Infect Control, 2017,16(8):721-725. DOI:10.3969/j. issn.1671-9638.2017.08.007.

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  • 收稿日期:2017-05-04
  • 最后修改日期:2017-06-22
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  • 在线发布日期: 2017-08-16
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