中国感染控制杂志2012，Vol.11Issue(6)：422-424,421,4.
集束化干预策略在预防ICU中心静脉导管相关血流感染中的应用
Effect of central line bundle on the prevention of central venous catheter-related bloodstream infection in an intensive care unit
葛学顺 1陈维开 1蒋福云 1崇殿真 1孙跃辉 1李正龙 1乔来娣1
作者信息
摘要
Abstract
Objective To explore the effect of central line bundle (CLB) on the prevention of central venous catheter-related bloodstream infection (CRBSI) in an intensive care unit(ICU). Methods A combination method of retrospective and prospective survey was adopted to compare and analyze the occurrence of CRBSI in two groups of patients, 179 patients in treatment group with central venous catheters (CVCs) from March 2011 to February 2012 implemented CLB, 198 patients in control group with CVCs from January 2010 to December 2010 didn't implement CLB. Results The incidence of CRBSI in treatment group was significantly lower than control group (3. 34‰ vs 9. 42‰;χ2 = 5. 340, P = 0. 021); the length of hospital stay was significantly shorter than that in control group ([26.43 + 7. 16]d vs[33. 25 ± 8. 51]d;t = 8. 35,Ρ<0. 001), the onset of CRBSI was significantly later than that of control group ([10. 11±2. 34)d vs(6. 23 ± 1. 92)d; t = 17. 703,P<0. 001), the consumption of hand disinfectant increased significantly in treatment group (41. 2 mL/ patients day vs 3. 5 mL/ patients day;t = 34. 469,P<0. 001). Conclusion The implementation of central line bundle in ICU can effectively reduce the incidence of CRBSI, and is helpful for the prevention and control of CRBSI.关键词
中心静脉导管/导管相关血流感染/中心静脉导管相关血流感染/集束化干预/医院感染/感染控制Key words
central venous catheter/ catheter-related bloodstream infection/ central venous catheter-related bloodstream infection/ central line bundle/ healthcare-associated infection/infection control分类
医药卫生引用本文复制引用
葛学顺,陈维开,蒋福云,崇殿真,孙跃辉,李正龙,乔来娣..集束化干预策略在预防ICU中心静脉导管相关血流感染中的应用[J].中国感染控制杂志,2012,11(6):422-424,421,4.
