预防肝胆外科手术患者尿路感染目标管理的应用研究  

Application of target safety management for prevention of urinary tract infections in surgical patients of department of hepatobiliary surgery

作　　者：朱俊青[1] 郭芳[1] 孙会凤 陈虎[1] 赵冀安[1] 郑素芬[2] 

机构地区：[1]河北医科大学第一医院肝胆外科,河北石家庄050031 [2]河北医科大学第一医院泌尿外科,河北石家庄050031

出　　处：《中华医院感染学杂志》2015年第6期1372-1374,共3页Chinese Journal of Nosocomiology

基　　金：河北省卫生厅科研基金资助项目(20120287)

摘　　要：目的探讨目标安全管理在预防肝胆外科手术患者导尿管相关尿路感染中的作用,为采取有效的预防和控制措施提供数据支持。方法将2011年1月-2013年12月200例患者按照随机数字表法分为观察组和对照组各100例,对照组给予常规干预,观察组给予目标安全管理干预,比较两组患者的导尿管相关尿路感染发生率、导尿管使用时间、菌尿发生率、致病菌检出率、采集样本合格率、反复插管率。结果观察组患者感染发生率为2.0%、菌尿发生率为3.0%,均低于对照组,两组比较差异有统计学意义(P<0.05);观察组手部卫生、病房空气、物体表面抽检合格率分别为97.0%、94.0%、95.0%,均高于对照组,两组比较差异有统计学意义(P<0.05);观察组反复插管率为7.0%、导尿管使用时间(2.11±0.47)d,对照组分别为18.0%、(2.31±0.63)d,观察组均低于对照组,两组比较差异有统计学意义(P<0.05)。结论通过实施目标安全管理,显著降低了肝胆外科手术患者导尿管相关尿路感染发生率,减少了导尿管使用时间,提高了消毒合格率,值得临床推广应用。OBJECTIVE To explore the effect of target safety management on prevention of urinary catheter-associ-ated urinary tract infections in the surgical patients of department of hepatobiliary surgery so as to provide data support for taking effective prevention measures .METHODS A total of 200 patients who were treated in the hospi-tal from Jan 2011 to Dec 2013 were enrolled in the study and randomly divided into the observation group and con-trol group ,with 100 cases in each group .The control group was treated with conventional intervention ,while the observation group was given the target safety management intervention ;the incidence of the catheter-associated u-rinary tract infections ,catheter indwelling time ,incidence of bacteriuria ,isolation rate of pathogenic bacteria , qualified rate of samples collection ,and rate of repeated intubation were observed and compared between the two groups .RESULTS The incidence of the infections was 2 .0% in the observation group ,lower than that of the con-trol group ;the incidence of bacteriuria was 3 .0% in the observation group ,lower than that of the control group , there was significant difference between the two groups （P〈 0 .05） .The qualified rates of spot check of hand hy-giene ,air in the ward ,and object surfaces of the observation group were respectively 97 .0% ,94 .0% ,and 95 .0% ,higher than those of the control group ,there was significant difference between the two groups （P 〈0 .05） .The rate of repeated intubation of the observation group was 7 .0% ,lower than 18 .0% of the control group ;the catheter indwelling time of the observation group was （2 .11 ± 0 .47）days ,shorter than （2 .31 ± 0 .63） days of the control group ,and there was significant difference between the two groups （P〈 0 .05） .CONCLUSION The implementation of the target safety management can remarkably reduce the incidence of the catheter -associated urinary tract infections in the surgical patients of department of hepatobiliary surgery ,shorten the catheter indwe

关 键 词：肝胆外科 导尿管留置 导尿管相关尿路感染 目标安全管理 预防 

分 类 号：R691.3[医药卫生—泌尿科学]