中国感染控制杂志2023，Vol.22Issue(12)：1511-1516,6.DOI:10.12138/j.issn.1671-9638.20234186
目标性监测与多模式促进策略对降低导尿管相关尿路感染的效果
Effect of targeted monitoring and multi-modular improvement strategy in reducing catheter-associated urinary tract infection
刘沙沙 1辛雪琳 2吕维红 2李玲 2张磊 2李静雯 2张晓 2徐钰雯 2谭善娟2
作者信息
- 1. 青岛市市立医院泌尿外科,山东 青岛 266071
- 2. 青岛市市立医院医院感染管理科,山东 青岛 266071
- 折叠
摘要
Abstract
Objective To evaluate the effect of targeted monitoring and multi-modular improvement strategy on the prevention and control of catheter-associated urinary tract infection(CAUTI).Methods Patients with indwe-lling urinary catheter in a tertiary first-class hospital from January 2018 to December 2022 were selected as the re-search subjects.Targeted monitoring results and distribution of pathogenic bacteria in 5 consecutive years were ana-lyzed,and a multi-modular improvement strategy based on the targeted monitoring results was implemented.The occurrence of CAUTI before and after implementation,status and effectiveness of training in prevention and control measures were compared respectively.Results Before and after the implementation of the multi-modular improve-ment strategy,health care workers'compliance rate of hand hygiene,awareness rate of prevention and control measures,and implementation rate of prevention and control measures all increased significantly(all P＜0.001).Targeted monitoring results showed that daily test rates of urine culture and routine urine from patients with in-dwelling catheters have been on the rise in 5 consecutive years(P＜0.05).A total of 397 cases of CAUTI occurred in the past 5 years.Incidences of CAUTI in general intensive care unit(ICU)and surgical ICU showed decreasing trends in 5 consecutive years(all P＜0.05).Incidence of CAUTI in general wards showed no statistically significant difference in 5 years(P=0.088).A total of 431 strains of pathogenic bacteria were detected,mainly Gram-negative bacteria.Daily incidence of multidrug-resistant organism infection in patients with indwelling catheters was 0.12‰.After the implementation of the multi-modular improvement strategy,incidence of CAUTI in all departments re-duced significantly(P＜0.05).Conclusion Targeted monitoring can help identify departments with high-risk of CAUTI,multi-modular improvement strategy can raise the quality of prevention and control of CAUTI in all occa-sions,reduce the incidence of CAUTI,and is worthy of clinical promotion and application.关键词
目标性监测/多模式促进策略/导尿管相关尿路感染/病原菌/发病率/CAUTIKey words
targeted monitoring/multi-modular improvement strategy/catheter-associated urinary tract infec-tion/pathogenic bacteria/incidence/CAUTI分类
医药卫生引用本文复制引用
刘沙沙,辛雪琳,吕维红,李玲,张磊,李静雯,张晓,徐钰雯,谭善娟..目标性监测与多模式促进策略对降低导尿管相关尿路感染的效果[J].中国感染控制杂志,2023,22(12):1511-1516,6.
