中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2014年
6期
368-370
,共3页
锁骨下静脉置管%中心静脉导管相关性感染%导管相关性血流感染%换药%消毒%医院感染
鎖骨下靜脈置管%中心靜脈導管相關性感染%導管相關性血流感染%換藥%消毒%醫院感染
쇄골하정맥치관%중심정맥도관상관성감염%도관상관성혈류감염%환약%소독%의원감염
Kex words] subclavian vein catheterization%central venous catheter-related infection%catheter-related blood-stream infection%dressing change%disinfection%healthcare-associated infection
目的:探讨改良锁骨下静脉置管敷料更换时清洁消毒的方法(简称换药方法),对预防相关感染的效果。方法选择2012年1-6月某院重症监护室行右锁骨下静脉置管的患者120例,按置管日期分为对照组(单日)和实验组(双日)各60例。对照组采用传统的换药方法:2%碘酊消毒穿刺点及周围皮肤一遍,75%乙醇脱碘一遍;实验组采用改良换药方法:先用生理盐水擦拭穿刺点及周围皮肤3遍,清洁导管,再避开穿刺点用75%乙醇消毒周围皮肤3遍,用0.5%碘伏消毒穿刺点及周围皮肤3遍,最后消毒导管。对比两组相关感染率。结果实验组局部感染率为5.00%,导管相关性血流感染(CRBSI)率为1.67%,均显著低于对照组(分别为16.67%和13.33%),差异均有统计学意义(均P<0.05)。结论改良换药方法比传统换药方法效果好,能有效预防局部感染与CRBSI的发生。
目的:探討改良鎖骨下靜脈置管敷料更換時清潔消毒的方法(簡稱換藥方法),對預防相關感染的效果。方法選擇2012年1-6月某院重癥鑑護室行右鎖骨下靜脈置管的患者120例,按置管日期分為對照組(單日)和實驗組(雙日)各60例。對照組採用傳統的換藥方法:2%碘酊消毒穿刺點及週圍皮膚一遍,75%乙醇脫碘一遍;實驗組採用改良換藥方法:先用生理鹽水抆拭穿刺點及週圍皮膚3遍,清潔導管,再避開穿刺點用75%乙醇消毒週圍皮膚3遍,用0.5%碘伏消毒穿刺點及週圍皮膚3遍,最後消毒導管。對比兩組相關感染率。結果實驗組跼部感染率為5.00%,導管相關性血流感染(CRBSI)率為1.67%,均顯著低于對照組(分彆為16.67%和13.33%),差異均有統計學意義(均P<0.05)。結論改良換藥方法比傳統換藥方法效果好,能有效預防跼部感染與CRBSI的髮生。
목적:탐토개량쇄골하정맥치관부료경환시청길소독적방법(간칭환약방법),대예방상관감염적효과。방법선택2012년1-6월모원중증감호실행우쇄골하정맥치관적환자120례,안치관일기분위대조조(단일)화실험조(쌍일)각60례。대조조채용전통적환약방법:2%전정소독천자점급주위피부일편,75%을순탈전일편;실험조채용개량환약방법:선용생리염수찰식천자점급주위피부3편,청길도관,재피개천자점용75%을순소독주위피부3편,용0.5%전복소독천자점급주위피부3편,최후소독도관。대비량조상관감염솔。결과실험조국부감염솔위5.00%,도관상관성혈류감염(CRBSI)솔위1.67%,균현저저우대조조(분별위16.67%화13.33%),차이균유통계학의의(균P<0.05)。결론개량환약방법비전통환약방법효과호,능유효예방국부감염여CRBSI적발생。
Objective To evaluate the effect of improved cleaning and disinfection method for subclavian venipunc-ture dressing change to prevent catheter-associated infection. Methods 120 hospitalized patients with right subcla-vian venipuncture at an intensive care unit in January-June 2012 were divided into control group (n= 60)and experi-mental group(n= 60)according to venipuncture date. Control group adopted conventional dressing change :disin-fected skin at and around puncture point by 2% iodine tincture,then used 75% alcohol for deiodination;experimen-tal group adopted improved dressing change :Wiped skin at and around puncture point three times by normal saline, cleaned catheter,disinfected skin around puncture point (avoid puncture point)three times by 75% alcohol,disin-fected skin at and around puncture point three times by 0 .5% iodine tincture ,then disinfected catheter . Associated infection rate between two groups were compared . Results Focal infection rate and CRBI rate of experimental group were both lower than control group(5.00% vs 16.67% ;1.67% vs 13.33% ),the difference was statistically different (P< 0.05 ). Conclusion Effect of improved dressing method is better than the conventional dressing method,it can effectively prevent occurrence of focal infection and CRBI.