CAJ | 학술논문

目的：评价无菌巾包覆三通接头对ICU导管相关性血流感染(CRBSI)发生率的影响。方法对2013年1月～2013年12月入住ICU超过24 h、年龄>14岁的非感染性疾病并留置右锁骨下静脉导管患者进行前瞻性监测，随机分干预组、对照组；两组均采取医护人员培训教育、严格执行手卫生、置管采用最大无菌屏障、消毒剂消毒皮肤3次自然干燥后穿刺或注射等综合预防措施，干预组在实施综合预防措施基础上予以无菌巾包覆三通接头，统计并比较两组CRBSI发生率。结果进入研究的ICU住院患者826例，干预组CRBSI发生率为2.8／1000 d，对照组发生率7.6／1000 d(x2=4.7367，P＜0.05)。结论无菌巾包覆三通接头能有效减少CRBSI的发生。
목적：평개무균건포복삼통접두대ICU도관상관성혈류감염(CRBSI)발생솔적영향。방법대2013년1월～2013년12월입주ICU초과24 h、년령>14세적비감염성질병병류치우쇄골하정맥도관환자진행전첨성감측，수궤분간예조、대조조；량조균채취의호인원배훈교육、엄격집행수위생、치관채용최대무균병장、소독제소독피부3차자연간조후천자혹주사등종합예방조시，간예조재실시종합예방조시기출상여이무균건포복삼통접두，통계병비교량조CRBSI발생솔。결과진입연구적ICU주원환자826례，간예조CRBSI발생솔위2.8／1000 d，대조조발생솔7.6／1000 d(x2=4.7367，P＜0.05)。결론무균건포복삼통접두능유효감소CRBSI적발생。
Objective To evaluate the aseptic towel covered three through joint of ICU catheter-related bloodstream infection (CRBSI) incidence.Methods From 2013 01 months in a 2013 December admitted to ICU than non infectious diseases in 24 h, age >14 years old and were prospectively monitored the right subclavian vein indwelling catheter patients were randomly divided into control group, intervention group, 2 groups were taken; medical personnel training and education, strict implementation of hand hygiene, catheter using maximal sterile barrier, disinfectant to disinfect the skin comprehensive prevention 3 natural drying after puncture or injection measures, the intervention group in the implementation of comprehensive prevention measures shall be based on the aseptic towel covering the three joints, the incidence of statistics and comparison of 2 groups of CRBSI.Results Into the study of hospitalized patients with ICU in 826 cases, the intervention group the incidence of CRBSI was 2.8 / 1000 D, the control group the incidence was 7.6 / 1000 D (x2=4.7367,P < 0.05).Conclusion The aseptic towel covered three through joint can effectively reduce the incidence of CRBSI.