多学科协作降低儿科血培养污染率的效果观察  

Multidisciplinary team collaboration in reducing the contamination rate of blood culture in the pediatric clinic

作　　者：张海萍[1] 周彩霞 黄瑞娟[2] 候德凤 伍宗燕 魏浩琴 ZHANG Haiping;ZHOU Caixia;HUANG Ruijuan;HOU Defeng;WU Zongyan;WEI Haoqin(Department of Pediatrics,Nanxishan Hospital of Guangxi Zhuang Autonomous Region,Guilin,Guangxi,541002;Department of Nosocomial Infection Management,Nanxishan Hospital of Guangxi Zhuang Autonomous Region,Guilin,Guangxi,541002;Department of Clinical Laboratory,Nanxishan Hospital of Guangxi Zhuang Autonomous Region,Guilin,Guangxi,541002)

机构地区：[1]广西壮族自治区南溪山医院儿科,广西桂林541002 [2]广西壮族自治区南溪山医院医院感染管理科,广西桂林541002 [3]广西壮族自治区南溪山医院检验科,广西桂林541002

出　　处：《中西医结合护理（中英文）》2018年第5期56-59,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨多学科协作模式降低儿科血培养污染率的效果。方法选取2017年1月—4月306份儿科血培养标本作为对照组,按常规模式采集送检。选取2017年5月—8月289份儿科血培养标本作为观察组,采用多学科协作模式及全过程干预措施。观察2组血标本采集送检的缺陷项目数及血培养污染率。结果观察组血标本采集送检的缺陷项目数低于对照组(P<0.05).观察组血培养污染率2.77%(8/289),低于对照组的7.19%(22/306),差异有统计学意义(P<0.05)。结论多学科协作克服了单科室实施过程中的局限性,有效解决部门实施过程中的合作性,能降低儿科血培养污染率。Objective To evaluate the multidisciplinary team collaboration in reducing the false positive rate of blood culture in the pediatric clinic.Methods A total of 306 pediatric blood specimens were selected as the control group between January,2017 and April,2017,and another 289 blood specimens were included as the observation group between May,2017 and August,2017.The routine connection and submission were carried out in the control group,and the collaborative intervention by multidisciplinary team was performed in the observation group,The defective items in specimen submission and incidence of contaminated blood specimens were observed and compared between two groups.Results There were fewer defective items of specimen submission in the observation group than those in the control group(P<0.05).The contamination rate of blood culture was 2.77%(8/289)in the observation group and was 7.19%(22/306)in the control group,with a significant difference(P<0.05).Conclusion Overcoming the limitation of single discipline,the application of multidisciplinary team collaboration is effective to reduce the contamination risk of blood culture.

关 键 词：多学科合作 血培养标本 污染 护理管理 

分 类 号：R192.9[医药卫生—卫生事业管理]