ICU导管相关血流感染目标性监测与持续质量改进  

Targeted surveillance and continuous quality improvement on nosocomial infection of catheter-related bloodstream infection （CRBSI） in patients in ICU

作　　者：唐艳琴[1] 宋秀婵[1] 杨文[2] 张春环[3] 钟喻华[4] 

机构地区：[1]广东医学院附属石龙博爱医院,东莞523325 [2]东莞市人民医院,523059 [3]东莞市厚街医院,523945 [4]东莞市太平人民医院,523600

出　　处：《国际医药卫生导报》2012年第12期1710-1713,共4页International Medicine and Health Guidance News

基　　金：2011年东莞市医疗卫生科技计划项目（201110515028070）

摘　　要：目的开展ICU导管相关血流感染（CRBSI）目标性监测与持续质量改进，降低CRBSI发生率。方法按分层抽样方法选择4家医院ICU为样本进行CRBSI目标性监测，运用持续质量改进（CQI）方法设计并实施改善留置深静脉导管（CVC、PICC）CRBSI防控流程，比较CQI前后CRBSI发生率。结果CQI后4家医院平均CRBSI率由4．52例次／1000导管日降至2．39例次／1000导管日垆〈0．051不同置管部位CRBSI率均有所下降，股静脉置管CRBSI率由7．52例次／1000导管日降至2．15例次／1000导管日。结论实施目标性监测结合CQI能有效降低CRBSI发生率。Objective To carry out the targeted surveillance and continuous quality improvement of catheterrelated bloodstream infection （CRBSI） in patients in ICU to reduce CRBSI rate of infection. Methods The targeted monitor- ing samples of CRBSI with stratified sampling method were chosen from ICU in four hospitals. Continuous quality improve- ment （CQI） methods of design and implementation were used to improve the retention of central venous catheter （CVC and PICC） CRBS! infection prevention and control processes. Then the CRBSI incidence before and after CQI were compared.Result After the implementation of CQI, the average CRBSI rate in the four hospitals decreased significantly from 4.52 cases / 1,000 catheter-days to 2.39 cases / 1,000 catheter-days; Different catheter parts of CRBSI rate declined; femoral vein catheter CRBSI rate decreased from CQI 7.52 cases / 1,000 catheter-days to 2.15/1000 catheter-days after CQI. Conclusion Carrying out the targeted surveillance of nosocomial infection with CQI can effectively reduce CRBSI incidence.

关 键 词：ICU 导管相关血流感染 目标性监测 持续质量改进(CQI) 

分 类 号：R472[医药卫生—护理学]