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中国导尿管相关尿路感染预防与控制工作的调查分析

徐华杨芸邢亚威林玲刘卫平罗晓黎建国张卫红侯铁英武迎宏孙建顾安曼李卫光吴安华刘运喜杨怀丁丽丽马红秋

中国感染控制杂志2016，Vol.15Issue(9)：671-675,5.

中国感染控制杂志2016，Vol.15Issue(9)：671-675,5.DOI:10.3969/j.issn.1671-9638.2016.09.007

中国导尿管相关尿路感染预防与控制工作的调查分析

Prevention and control of catheter-associated urinary tract infection in China

徐华 ¹杨芸 ²邢亚威 ³林玲 ⁴刘卫平 ⁵罗晓黎 ⁶建国 ⁷张卫红 ⁸侯铁英 ⁹武迎宏 ¹⁰孙建 ¹顾安曼 ¹李卫光 ¹吴安华 ¹¹刘运喜 ¹²杨怀 ¹³丁丽丽 ¹⁴马红秋¹⁵

作者信息

1. 山东大学附属省立医院，山东济南 250021
2. 山西医学科学院山西大医院，山西太原 030032
3. 河北医科大学第四医院，河北石家庄 050019
4. 黑龙江省疾病预防控制中心，黑龙江哈尔滨 150030
5. 内蒙古自治区人民医院，内蒙古呼和浩特 010017
6. 江西省儿童医院，江西南昌 330006
7. 郑州大学第一附属医院，河南郑州 450052
8. 江苏省人民医院，江苏南京 210029
9. 广东省人民医院，广东广州 510008
10. 北京大学人民医院，北京 100044
11. 中南大学湘雅医院，湖南长沙 410008
12. 解放军总医院，北京 100853
13. 贵州省人民医院，贵州贵阳 550002
14. 新疆医科大学第一附属医院，新疆乌鲁木齐 830054
15. 安徽医科大学第一附属医院，安徽合肥 230022
折叠

摘要

Abstract

Objective To realize the current situation of prevention and control of catheter-associated urinary tract infection (CAUTI)since the development of healthcare-associated infection(HAI)management in China in the re-cent 30 years.Methods Random cluster sampling was used to select 165 secondary and tertiary hospitals in 13 provinces and cities in China,questionnaires were filled in,the content included time,scope,method,data feed-back,and incidence of CAUTI monitoring.Results Of 165 hospitals,92.12% (152/165)have implemented targe-ted monitoring,the implementation rate in tertiary hospitals was higher than secondary hospitals (98.08% [102/104]vs 81.97%[50/61],χ2 =13.748,P <0.001).Most hospitals (82.24%[125/152])only implemented monito-ring in intensive care units(ICUs)or partial ICUs.HAI management professionals,HAI control doctors and nurses in 69.08%(105/152)of hospitals jointly took responsibility for CAUTI monitoring.95.39% (145/152)of hospitals diagnosed CAUTI by combination of clinical manifestations and laboratory examination results.98.68%(150/152) of hospitals have gradually implemented intervention measures,such as strictly mastering the indications of urinary indwelling catheters,hand hygiene of health care workers,non-frequent change of urinary indwelling catheters,and necessity for daily assessment of catheterization.75.66% (115/152)of hospitals conducted feedback of monitored results to the whole hospital.Incidences of CAUTI in pre-2010,2010,and 2015 were 3.10‰,4.72‰,and 1.89‰respectively.Conclusion In the recent 30 years,monitoring on CAUTI in China has obtained achievement,CAUTI monitoring is gradually standardized and scientific,but the development at all levels of medical institutions is still imbalance,which needs to be improved further.

关键词

导尿管相关尿路感染/留置导尿/预防与控制/调查

Key words

catheter-associated urinary tract infection/urinary catheterization/prevention and control/investigation

分类

医药卫生

引用本文复制引用

徐华,杨芸,邢亚威,林玲,刘卫平,罗晓黎,建国,张卫红,侯铁英,武迎宏,孙建,顾安曼,李卫光,吴安华,刘运喜,杨怀,丁丽丽,马红秋..中国导尿管相关尿路感染预防与控制工作的调查分析[J].中国感染控制杂志,2016,15(9):671-675,5.

基金项目

中国医院协会《中国医院感染管理工作30周年总结》项目（）

中国感染控制杂志

OA北大核心CSTPCD

ISSN：1671-9638

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