集束化干预预防恶性血液病患者医院感染的效果
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杜欣蕾

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R181.3+2

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赤峰市自然科学科研项目(SZR2019178)


Effect of bundle intervention on prevention of healthcare-associated infection in patients with hematological malignancies
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    摘要:

    目的 探讨集束化干预措施预防恶性血液病患者医院感染的效果,为恶性血液病患者医院感染预防措施的制定提供依据。方法 采用回顾性和前瞻性调查相结合的方法,选择某医院血液科住院治疗的恶性血液病患者为研究对象,以2017年1月1日—2018年1月31日进行常规干预的患者为对照组,2018年2月1日—9月20日进行集束化干预的患者为试验组,比较两组患者在治疗过程中,集束化干预前后医院感染发病率以及感染部位的变化。结果 试验组恶性血液病患者医院感染发病率为8.18%(28/342),低于对照组的17.40%(75/431),差异有统计学意义(P<0.05)。进一步对恶性血液病患者进行归类分析,结果显示,与对照组比较,试验组淋巴瘤患者医院感染发病率降低最明显(28.85% VS 9.80%),其次为急性白血病患者(24.42% VS 13.27%),集束化干预前后两种疾病患者医院感染发病率比较,差异均有统计学意义(均P<0.05):淋巴瘤和急性白血病患者医院感染部位构成比发生明显变化,两者在呼吸系统、口腔和软组织等部位的感染构成比均有所下降,而血液感染构成比呈上升趋势。结论 采取集束化干预措施,能降低恶性血液病患者医院感染发病率。

    Abstract:

    Objective To explore the effect of bundle intervention measures on the prevention of healthcare-associated infection(HAI) in patients with hematological malignancies(HM), and provide basis for formulating HAI preventive measures for patients with hematological malignancies. Methods By using the combination method of retrospective and prospective investigation, patients with HM in the hematology department of a hospital were selected as the research objects, those who received routine intervention from January 1, 2017 to January 31, 2018 were as control group, and those who received bundle intervention from February 1, 2018 to September 20, 2018 were as trial group, changes in incidence and site of HAI between two groups of patients before and after bundle intervention during therapeutic process were compared. Results Incidence of HAI in trial group was lower than control group (8.18%[28/342] vs 17.40%[75/431], P<0.05). Classified analysis results showed that compared with control group, incidence of HAI in patients with lymphoma in trial group decreased most obviously (28.85% vs 9.80%), followed by patients with acute leukemia (24.42% vs 13.27%). Difference in the incidence of HAI between patients with these two kinds of diseases before and after bundle intervention were both significant (both P<0.05); constituent ratios of infection sites in patients with lymphoma and acute leukemia changed significantly, constituent ratios of infection in respiratory system, oral cavity, and soft tissue decreased, while that in bloodstream increased. Conclusion The bundle intervention can reduce the incidence of HAI in patients with HM.

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孙庆芬, 于莉, 段秀琴,等.集束化干预预防恶性血液病患者医院感染的效果[J]. 中国感染控制杂志,2020,19(2):137-142. DOI:10.12138/j. issn.1671-9638.20205450.
SUN Qing-fen, YU Li, DUAN Xiu-qin, et al. Effect of bundle intervention on prevention of healthcare-associated infection in patients with hematological malignancies[J]. Chin J Infect Control, 2020,19(2):137-142. DOI:10.12138/j. issn.1671-9638.20205450.

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  • 收稿日期:2019-05-31
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  • 在线发布日期: 2020-02-28
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