监测-培训-计划干预模式在重症监护病房导尿管相关尿路感染预防与控制中的效果研究  

Effect of monitoring-training-planning intervention on the prevention and control of catheter-associated urinary tract infection in Intensive Care Unit

作　　者：陈丽萍[1] 雷曦兵 孙睿[1] 唐燕[1] 谭慕杨[1] 

机构地区：[1]宜宾市第一人民医院医院感染管理科,四川宜宾644000

出　　处：《华西医学》2017年第3期352-356,共5页West China Medical Journal

摘　　要：目的探讨采用监测-培训-计划(monitoring-training-planning,MTP)干预模式控制重症监护病房(Intensive Care Unit,ICU)留置导尿管相关尿路感染(catheter-associated urinary tract infection,CAUTI)的作用。方法选择2014年—2015年拥有ICU的科室(重症医学科、神经外科、神经内科)中留置导尿管的患者。根据纳入排除标准,按照《医院感染监测规范》设定目标性监测指标,选取2014年1月—12月493例患者进行目标性监测,作为调研基线;对2015年1月—12月529例患者分析CAUTI的感染现状,采用MTP干预模式进行干预,比较干预前后ICU留置CAUTI的发生情况。结果 MTP干预前后的CAUTI的发生率不同,差异均有统计学意义(P<0.05)。结论 MTP干预模式能有效地防范ICU的CAUTI,降低CAUTI发生率。Objective To discuss the effect of monitoring-training-planning （MTP） intervention model on the prevention and control of catheter–associated urinary tract infection （CAUTI） in Intensive Care Unit （ICU）. Methods Patients with indwelling catheter from departments with ICU （ICU, ICU of the Department of Neurosurgery, ICU of the Department of Neurologic Medicine） between 2014 and 2015 were included in this study. Based on the inclusion criteria, target monitoring indicators were set in accordance with Hospital Infection Monitoring Norms. A total of 493 patients with indwelling catheters from January to December 2014 were subjected to target surveillance, and were used as baseline for the study. A total of 529 patients with indwelling catheters from January to December 2015 were treated with MTP intervention. The occurrence of indwelling catheter–associated urinary tract infections in the intensive care unit was compared before and after intervention. Results The incidence of indwelling catheter-associated urinary tract infections before and after MTP intervention were different, and the difference was statistically significant （P〈0.05）. Conclusion MTP intervention model can effectively prevent and reduce indwelling catheter-associated urinary tract infections in ICU.

关 键 词：重症监护病房 导尿管相关尿路感染 监测-培训-计划干预模式 

分 类 号：R472.2[医药卫生—急诊医学]