ICU导管相关性血流感染风险评估的研究  

Risk assessment of Catheter Related Bloodstream Infection in ICU

作　　者：高明榕[1] 成守珍[2] 王越秀[1] 何丽仪[1] 白利平[1] 

机构地区：[1]中山大学附属第一医院SICU,广州市510080 [2]中山大学附属第一医院护理部,广州市510080

出　　处：《中国护理管理》2014年第3期275-277,共3页Chinese Nursing Management

摘　　要：目的:探讨预防导管相关性血流感染(CRBSI)的风险评估方法,并根据评估结果进行临床干预的效果。方法:以我院SICU病区2011年4月至2012年3月留置中心静脉导管的774例患者为对照组,以2012年4月至2013年3月留置中心静脉导管的883例患者为观察组,由预防CRBSI护理专科小组利用风险评估表对观察组进行质量控制和干预,比较两组CRBSI的发生率。结果 :对照组CRBSI的发生率为6.79/千导管留置日,而观察组的发生率为2.34/千导管留置日,差异有统计学意义(P<0.05)。结论:对ICU留置中心静脉导管的患者进行CRBSI的专项风险评估并及时干预,能有效降低危重症患者CRBSI的发生率。Objective：To explore evidence-based risk assessment of Catheter Related Bloodstream Infection （CRBSI） prevention and the effect of clinical intervention according to the assessment results. Methods：Totally 774 patients with Central Venous Catheterization in SICU of our hospital from April 2011 to March 2012 were surveyed by retrospective method and used as the control group, while 883 cases from April 2012 to March 2013 were used as the observation group. The preventing CRBSI nursing team used the risk assessment scale for quality control and intervention in the observational group and compared the CRBSI rates of the two groups. Results： The incidence of CRBSI in the control group was 6.79 per 1000 catheter-days, and that in the observation group was 2.34 per 1000 catheter-days. The difference was statistically signiifcant byχ2 test （P〈0.05）. Conclusion：We could effectively reduce the incidence of CRBSI among patients with Central Venous Catheterization in ICU by special CRBSI risk assessment and timely intervention.

关 键 词：中心静脉导管 导管相关性血流感染 风险评估 

分 类 号：R47[医药卫生—护理学]