采用标准化配置换药包预防手术室导管相关性感染的研究  

Standardized allocation of dressing kits for prevention of catheter-related infections in operating rooms

作　　者：任慧萌[1] 李强[2] 牛桂霞[1] 

机构地区：[1]泰山医学院附属莱芜医院手术室,山东莱芜271199 [2]泰山医学院附属莱芜医院骨二科,山东莱芜271199

出　　处：《中华医院感染学杂志》2015年第16期3832-3834,共3页Chinese Journal of Nosocomiology

基　　金：山东省卫生厅重点基金资助项目(SW-2012B-041)

摘　　要：目的探讨标准化配置换药包对手术室导管相关性感染的预防疗效,降低医院感染率,为临床治疗提供参考依据。方法选择2013年3月-2014年3月85例手术患者为研究对象,随机将其分为对照组42例和观察组43例,对照组应用常规换药包,观察组应用标准化配置换药包,分析比较两组患者感染发生率及术后指标,数据采用SPSS 16.0软件进行统计分析。结果观察组与对照组患者导管口感染发生率分别为2.33%、9.52%,导管相关性血流感染发生率分别为2.33%、7.14%,观察组感染发生率低于对照组,差异有统计学意义(P<0.05);两组患者术后在体温、白细胞计数、中性例细胞比例、抗菌药物使用时间、维护依从性及住院时间等比较,观察组均优于对照组,差异有统计学意义(P<0.05)。结论标准化配置换药包在预防手术室导管相关性感染方面疗效确切,值得临床推广应用。OBJECTIVE To investigate the efficacy of standardized allocation of dressing kits in the operating rooms for prevention of catheter‐related infections ,so as to reduce hospital infection rates and provide reference for clini‐cal treatment .METHODS Totally 85 cases of surgical patients during Mar .2013-Mar .2014 were selected as the study subjects and were randomly divided into the control group （42 cases） and the observation group （43 cases） . The control group received treatment with conventional dressing kits ,and the observation group was applied with standardized allocation of dressing kits .The incidence of catheter‐related infections and postoperative indexes for the two groups were analyzed and compared .The software SPSS 16 .0 was used for statistical analysis of the data . RESULTS The exit site infection rate was 2 .33% in the observation group and 9 .52% in the control group ,the in‐cidence of catheter‐related bloodstream infection was 2 .33% in the observation group and 7 .14% in the control group ,indicating the incidence of infection was significently lower in the observation group than in the control group （P〈 0 .05） .The observation group was significently superior to the control group in postoperative body temperature ,leukocyte count ,neutrophil proportion ,duration of antibiotic use ,compliance and hospitalization time （P〈0 .05） .CONCLUSION The standardized allocation of dressing kits has definite efficacy in prevention of catheter‐related infections ,worthy of clinical application .

关 键 词：标准化配置 换药包 手术室 导管相关性感染 

分 类 号：R197.323[医药卫生—卫生事业管理]