重症监护病房血管导管相关血流感染发病率及预防措施多中心调查  

Incidence and prevention measures of catheter-related bloodstream infection in intensive care units

作　　者：胡艳丽[1] 吴晓琴[2] 李琳[2] 

机构地区：[1]邳州市人民医院,江苏邳州221300 [2]徐州医学院第二附属医院,江苏徐州221006

出　　处：《中国感染控制杂志》2015年第5期302-305,共4页Chinese Journal of Infection Control

基　　金：徐州医学院第二附属医院课题(Y2013038)

摘　　要：目的了解某市三级医院重症监护病房(ICU)中心静脉导管相关血流感染(CRBSI)预防与控制质量安全管理现状,探讨其对策。方法用自行设计的问卷,调查CRBSI防控及质量管理现状。结果8所医院ICU CRBSI发病率为4.81‰,例次发病率为5.02‰。6所(75.00%)医院具有预防CRBSI标准操作规程,2所(25.00%)医院有中心静脉导管(CVC)维护专用记录单,仅2所(25.00%)医院实施了最大无菌屏障和置管组合措施,无医院使用抗感染敷料和氯己定洗浴。结论该市三级医院ICU预防与控制CRBSI标准操作规程及落实控制措施方面存在很多问题,有待加强和改进。Objective To investigate the management of prevention and control of catheter-related bloodstream infection （CRBSI） in intensive care units （ICUs） of tertiary hospitals in a city, and explore stategies. Methods Data about CRBSI prevention and control as well as quality management were collected and surveyed by self-developed questionnaires. Results Of ICUs in 8 hospitals, the incidence of CRBSI was 4. 81%, case infection rate was 5.02‰. 6 （75. 00%） hospitals had standard operating instruction for the prevention and control of CRBSI, 2 （25.00 %） hospitals had maintenance record on central venous catheter, and 2 （25.00%） hospitals implemented maximum sterile barrier and catheterization combination strategy, none hospital adopted anti-infective dressing and ehlorhexidine bathing. Conclusion There are many problems in the standard operating instruction and implementa- tion of measures for the prevention and control of CRBSI in ICUs of tertiary hospitals in this city, which needs to be improved.

关 键 词：重症监护病房 ICU 导管相关血流感染 质量管理 问卷调查 

分 类 号：R181.32[医药卫生—流行病学]