本文關鍵詞：目標性監(jiān)測與綜合干預對降低非ICU患者導尿管相關尿路感染的效果　出處：《中國感染控制雜志》2017年08期 　論文類型：期刊論文

  更多相關文章： 目標性監(jiān)測 綜合干預 非重癥監(jiān)護病房 導尿管相關尿路感染

【摘要】：目的評價采取目標性監(jiān)測與綜合干預措施對降低非重癥監(jiān)護病房患者導尿管相關尿路感染(CAUTI)的效果。方法 2015年4季度對該院臨床科室留置導尿管患者進行基線調查(干預前),查找導致患者發(fā)生CAUTI的危險因素,2016年開始制定目標性監(jiān)測方案及綜合干預措施(干預后),比較干預前后CAUTI發(fā)病率。結果采取干預措施后,手衛(wèi)生的依從率由2015年4季度的78.51%提高至2016年3季度的92.99%和2016年4季度的90.73%(χ~2值分別為7.342、3.998,均P0.05),患者導尿系統(tǒng)處置正確率由2015年4季度的72.83%提高至2016年4度的95.44%(χ~2=30.267,P0.05)。共監(jiān)測12 067例留置導尿管患者,CAUTI發(fā)病率由2015年4季度(干預前)的1.03‰(24/23 313)下降至2016年4季度(干預后)的0.53‰(14/26 595),兩者比較差異有統(tǒng)計學意義(χ~2=4.126,P=0.042)。結論通過目標性監(jiān)測,提升留置導尿管患者導尿系統(tǒng)相關的環(huán)節(jié)質量,能有效降低非重癥監(jiān)護病房患者CAUTI發(fā)病率。
[Abstract]:Objective to evaluate the effect of targeted monitoring and comprehensive intervention on the reduction of urinary catheter associated urinary tract infection in non-ICU patients. Methods in the fourth quarter of 2015, the patients with indwelling urethral catheter in clinical department of our hospital were investigated at baseline (before intervention). To find out the risk factors leading to the occurrence of CAUTI in patients, the target surveillance program and comprehensive intervention (after intervention) were established in 2016. The incidence of CAUTI was compared before and after intervention. The compliance rate for hand hygiene increased from 78.51% in the fourth quarter on 2015 to 92.99% in the third quarter on 2016 and 90.73 in the fourth quarter of 2016 (. 蠂 2 values were 7.342 respectively. The correct rate of catheterization was increased from 72.83% in 2015 to 95.44 in 2016 (蠂 2 + 30.267). A total of 12 067 patients with indwelling catheter were monitored. The incidence of CAUTI decreased from 1.03 鈥，

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