目标性干预预防术后中心静脉导管相关性血流感染的效果  

Effect of target intervention on preventing catheter-related bloodstream infection

作　　者：潘立东[1] 孙丽韫 巫香球 徐妙娣[4] 

机构地区：[1]浙江省遂昌县人民医院麻醉科,浙江遂昌县323300 [2]浙江省松阳县人民医院手术室,浙江松阳县323400 [3]浙江省遂昌县人民医院院感科,浙江遂昌县323300 [4]浙江省遂昌县人民医院护理部,浙江遂昌县323300

出　　处：《中华医院感染学杂志》2011年第11期2296-2298,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨实施目标性干预进行颈内静脉穿刺在预防手术患者术后中心静脉导管相关性血流感染(CRBSI)中的效果。方法对2010年1-8月586例需留置中心静脉导管的手术患者随机分为对照组与干预组,对照组进行常规穿刺置管和管理,干预组以降低CRBSI发病率为目标,制定统一的目标性干预措施,对患者进行中心静脉穿刺置管和管理;术后对两组患者进行前瞻性目标性监测,分析比较两组的CRBSI发病率和留置导管日感染率。结果对照组CRBSI例次感染率为6.1%,留置导管日感染率为10.6‰,干预组CRBSI例次感染率为1.4%,留置导管日感染率为1.6‰,经χ2检验,差异有统计学意义(P<0.05)。结论目标性干预控制措施可以显著降低手术患者术后CRBSI发病率和留置导管日感染率。OBJECTIVE To investigate the effectiveness of target intervention in preventing Catheter-related bloodstream infection（CRBSI） among the postoperative patients.METHODS From Jan 2010 to Aug 2010,586 postoperative patients who need to keep CVC were divided into two groups.The intervention group which aimed to reduce the incidence of CRBSI established a target intervention,while no special intervention in control group.After surgery a mothod of target monitoring was investigated,the incidence of CRBSI and the infection rate of duration of catheterization were analyzed.RESULTS The incidence of CRBSI in control group was 6.1%,and the infection rate of duration of catheterisation was 10.6‰.However,in intervention group,the incidence of CRBSI was 1.4%,and the infection rate of duration of catheterisation was 1.6‰.Using the chi square test for statistical analysis and there were significant difference between two groups（P〈0.05）.CONCLUSION Target intervention can reduce the incidence of CRBSI and the infection rate of duration of catheterization remarkably.

关 键 词：目标 干预 预防 中心静脉 血流感染 效果 

分 类 号：R197.323[医药卫生—卫生事业管理]