本文選題：重癥監(jiān)護(hù)病房 + 風(fēng)險(xiǎn)管理��； 參考：《中國(guó)感染控制雜志》2016年08期

【摘要】：目的探討風(fēng)險(xiǎn)管理在重癥監(jiān)護(hù)病房(ICU)導(dǎo)管相關(guān)感染防控中的應(yīng)用效果。方法對(duì)2013年1月—2014年12月入住某院ICU的患者實(shí)施風(fēng)險(xiǎn)管理,2013年為實(shí)施風(fēng)險(xiǎn)管理前組,2014年為實(shí)施風(fēng)險(xiǎn)管理后組。觀察呼吸機(jī)、留置導(dǎo)尿管及中心靜脈導(dǎo)管的使用率及相關(guān)感染發(fā)病率,并進(jìn)行統(tǒng)計(jì)分析。結(jié)果2013年1月—2014年12月共監(jiān)測(cè)ICU患者481例,實(shí)施風(fēng)險(xiǎn)管理后,2014年的呼吸機(jī)、留置導(dǎo)尿管及中心靜脈導(dǎo)管的使用率較2013年均降低(38.73%、81.49%、54.10%vs 55.31%、82.87%、61.37%,均P0.05),2014年ICU患者呼吸機(jī)相關(guān)肺炎(VAP)、導(dǎo)尿管相關(guān)尿路感染(CAUTI)及導(dǎo)管相關(guān)血流感染(CRBSI)發(fā)病率均較2013年降低(9.79‰、1.30‰、0.84‰、vs 10.15‰、2.84‰、1.92‰,均P0.05)。結(jié)論實(shí)施風(fēng)險(xiǎn)管理可以有效降低ICU患者導(dǎo)管使用率及相關(guān)感染發(fā)病率,有利于針對(duì)性地做好醫(yī)院感染防控工作。
[Abstract]:Objective to investigate the effect of risk management in the prevention and control of ICU catheter-associated infection in intensive care unit (ICU). Methods risk management was performed on patients admitted to a hospital with ICU from January 2013 to December 2014, pre-risk management group in 2013 and post-risk management group in 2014. The utilization rate of ventilator, indwelling catheter and central venous catheter and the incidence of related infection were observed and analyzed statistically. Results A total of 481 patients with ICU were monitored from January 2013 to December 2014. The utilization rate of indwelling catheter and central venous catheter was lower than that of 2013. The incidence of ICU patients with Vapor, urethral catheter associated urinary tract infection and catheter-related blood stream infection in 2014 decreased by 9.79 鈥，

本文編號(hào)：1922798