中国感染控制杂志2017，Vol.16Issue(8)：721-725,5.DOI:10.3969/j.issn.1671-9638.2017.08.007
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
Effect of targeted monitoring and comprehensive intervention on reducing catheter-associated urinary tract infection in patients in non-intensive care unit
孔立 1李宁 1岳霞 1张丁丁 1马永辉 1李玉森 1赵战魁 1胡慧芳 1郭金凤 1刘宏 1王娟 1王吉霞 1刘淼1
作者信息
- 1. 济宁医学院附属医院,山东 济宁 272000
- 折叠
摘要
Abstract
Objective To 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).Methods In 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.Results After 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(x2=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(x2=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(x2=4.126,P=0.042).Conclusion Improving 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.关键词
目标性监测/综合干预/非重症监护病房/导尿管相关尿路感染Key words
targeted monitoring/comprehensive intervention/Non-intensive care unit/catheter-associated urinary tract infection分类
医药卫生引用本文复制引用
孔立,李宁,岳霞,张丁丁,马永辉,李玉森,赵战魁,胡慧芳,郭金凤,刘宏,王娟,王吉霞,刘淼..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):721-725,5.
