川北医学院学报2017，Vol.32Issue(2)：288-291,4.DOI:10.3969/j.issn.1005-3697.2017.02.012
集束化干预对恶性血液病患者导管相关性血流感染的效果分析
Effect of cluster intervention strategy on catheter-related bloodstream infections in patients with hematologic malignancies
摘要
Abstract
Objective:To explore the effect of central venous catheter cluster intervention strategy (central line bundle,CLB) on catheter-related bloodstream infections in patients with hematologic malignancies (catheter related bloodstream infection,CRBSI).Methods:According to the United States of central venous catheter related blood stream infection prevention Institution for Healthcare Improvement(IHI),cluster intervention strategy of CRBSI cluster change intervention measures were set.252 patients with hematologic malignancies in our hospital from January 2010 to January 2010 were set as control group and treated with central venous catheter indwelling routine nursing,at the same time randomly selected 271 patients with hematologic malignancies as experimental group and treated with cluster intervention strategy.The effects of two groups were compared.Results:The incidence rate of femoral vein GRBSI was 26.1‰ in contrast group,average 7.4‰ in control group and the difference was statistically significant (P<0.01).The incidence of internal jugular vein,subclavian venipuncture GRBSI in experimental group had no statistically significant difference (P>0.05).The incidence of CRBSI in two groups were 13.5‰,6.1‰ respectively,and the CRBSI rate (per),CRBSI starting time,retention days,length of hospital stay,cost and consumption of hand disinfectant were significantly different (P<0.01) compared with control group.Gram-positive bacteria were the main cause of CRBSI,and pathogenic constituent ratio has no significant difference after intervention strategy between experimental group and control group (P>0.05).Conclusion: The cluster intervention strategy can effectively reduce the incidence of central venous catheter related bloodstream infections in patients with hematologic malignancies,shorten their hospital stay,reduce hospitalization expenses,and improve their survival rate and quality of life.关键词
中心静脉导管/导管相关血流感染/集束化干预策略/恶性血液病Key words
Central venous catheter/Catheter-related bloodstream infection/Cluster intervention strategy/Hematologic malignancies分类
医药卫生引用本文复制引用
敬雪明,王川林,刘娇,古雪,梅怡晗,梅小平..集束化干预对恶性血液病患者导管相关性血流感染的效果分析[J].川北医学院学报,2017,32(2):288-291,4.基金项目
四川省教育厅课题(17ZB0174) （17ZB0174）
