中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2015年
8期
548-552
,共5页
医院感染%重症监护病房%泌尿道插管相关泌尿道感染%导尿管相关尿路感染
醫院感染%重癥鑑護病房%泌尿道插管相關泌尿道感染%導尿管相關尿路感染
의원감염%중증감호병방%비뇨도삽관상관비뇨도감염%도뇨관상관뇨로감염
healthcare-associated infection%intensive care unit%catheter-associated urinary tract infection
目的:旨在通过开展导尿管相关尿路感染(CAUTI)的防控建设项目,提高医护人员的感染防控意识,促进感染防控措施的落实。方法统一采用美国疾病控制与预防中心/国家医疗保健安全网络(CDC/NHSN)2009年发布的 CAUTI 诊断标准,对2013年10月—2014年9月监测医院不同类型重症监护病房(ICU)中留置导尿管持续时间>2 d的住院患者进行 CAUTI 监测。结果共收集合格病例14124例,410例发生CAUTI,导尿管使用率是79.33%(203114/256042),CAUTI 发病率为2.02‰(410/203114),尿培养送检率为46.52%(6570/14124)。按季度统计尿培养送检率由第1监测季度(2013年第4季度)的37.24%,提升至第4监测季度(2014年第3季度)的49.76%。防控措施中,具有置管指征比较,差异有统计学意义(P <0.01)。结论通过“医院感染预防与控制能力建设”项目的开展,CAUTI 的防控取得了良好的干预效果。
目的:旨在通過開展導尿管相關尿路感染(CAUTI)的防控建設項目,提高醫護人員的感染防控意識,促進感染防控措施的落實。方法統一採用美國疾病控製與預防中心/國傢醫療保健安全網絡(CDC/NHSN)2009年髮佈的 CAUTI 診斷標準,對2013年10月—2014年9月鑑測醫院不同類型重癥鑑護病房(ICU)中留置導尿管持續時間>2 d的住院患者進行 CAUTI 鑑測。結果共收集閤格病例14124例,410例髮生CAUTI,導尿管使用率是79.33%(203114/256042),CAUTI 髮病率為2.02‰(410/203114),尿培養送檢率為46.52%(6570/14124)。按季度統計尿培養送檢率由第1鑑測季度(2013年第4季度)的37.24%,提升至第4鑑測季度(2014年第3季度)的49.76%。防控措施中,具有置管指徵比較,差異有統計學意義(P <0.01)。結論通過“醫院感染預防與控製能力建設”項目的開展,CAUTI 的防控取得瞭良好的榦預效果。
목적:지재통과개전도뇨관상관뇨로감염(CAUTI)적방공건설항목,제고의호인원적감염방공의식,촉진감염방공조시적락실。방법통일채용미국질병공제여예방중심/국가의료보건안전망락(CDC/NHSN)2009년발포적 CAUTI 진단표준,대2013년10월—2014년9월감측의원불동류형중증감호병방(ICU)중류치도뇨관지속시간>2 d적주원환자진행 CAUTI 감측。결과공수집합격병례14124례,410례발생CAUTI,도뇨관사용솔시79.33%(203114/256042),CAUTI 발병솔위2.02‰(410/203114),뇨배양송검솔위46.52%(6570/14124)。안계도통계뇨배양송검솔유제1감측계도(2013년제4계도)적37.24%,제승지제4감측계도(2014년제3계도)적49.76%。방공조시중,구유치관지정비교,차이유통계학의의(P <0.01)。결론통과“의원감염예방여공제능력건설”항목적개전,CAUTI 적방공취득료량호적간예효과。
Objective To improve health care workers’(HCWs)infection prevention and control consciousness through carrying out catheter-associated urinary tract infection(CAUTI)prevention and control project,and imple-ment prevention and control measures in practical work.Methods Diagnostic criteria of CAUTI issued by the U.S. Centers for Disease Prevention and Control/National Healthcare Safety Network were adopted,from October 2013 to September 2014,monitoring was conducted on CAUTI in patients with indwelling urinary catheters for >2 con-secutive days at different types of ICUs in hospitals participated in the project .Results A total of 14 124 CAUTI cases were collected,410 patients developed CAUTI,urinary catheter usage rate was 79.33%(203 114/256 042), incidence of CAUTI was 2.02‰(410/203 114),urine specimen detection rate was 46.52%(6 570 /14 124).The detection rate of urine specimens increased from 37.24% (the fourth quarter of 2013)to 49.76% (the third quarter of 2014).Of prevention measures,the difference in the indication of catheterization was significantly different(P <0.01).Conclusion Through the development of competence building project of healthcare-associated infection pre-vention and control,prevention and control of CAUTI has achieved good intervention effect.