2015-2019年某医院ICU“三管”感染状况及院感控制图的监控分析  

Analysis of infection status of"three catheters"in ICU and application of hospital infection control chart from 2015 to 2019

作　　者：管鲜花 陈红萍 张海英[1] Guan Xianhua;Chen Hongping;Zhang Haiying(Department of Critical Medicine,Taizhou First People's Hospital,Taizhou 318000,China)

机构地区：[1]台州市第一人民医院重症医学科,浙江台州318000

出　　处：《中国医院统计》2020年第3期251-255,共5页Chinese Journal of Hospital Statistics

摘　　要：目的探讨院感控制图在重症医学科(ICU)"三管"感染管理中的应用价值,为院感的控制提供指导。方法收集2015年1月至2019年12月某医院ICU病房每月的"三管"感染监控记录,采用SPSS 19.0软件对收集的数据资料进行统计学分析,利用生成的院感控制图对ICU"三管"感染情况进行监控,及时发现问题并予以改进。结果 2015年1月至2019年12月期间该院ICU病房每月新收患者30~96例,每月新发CLABSI 0~5例,每月中心静脉插管总时长202~449 d,CLABSI发生率为0~14.71例/千导管日,每月新发CAUTI 0~6例,每月尿道插管总时长213~449 d,CAUTI发生率为0~19.01例/千导管日,每月新发VAP 0~5例,每月使用呼吸机总时长198~449 d,VAP发生率0~19.01例/千导管日。每个月CLABSI、CAUTI及VAP发生率各数据监控点均落在控制限内,均在中心线上下波动,各数据点无异常排列。每个月CLABSI、CLABSI、CAUTI及VAP发生率有个别数据点落在警戒限外,其余数据点均在警戒限内,且无异常排列,"三管"感染均在受控状态。结论借助院感质量控制图能够科学、直观地对ICU"三管"感染状况进行分析,具有操作简便、结果直观、发现问题及时等特点,可广泛应用于ICU院感日常监控中。Objective To explore the application value of nosocomial infection control chart in ICU,and to provide guidance for nosocomial infection control.Methods From January 2015 to December 2019,the monthly"three catheters"infection monitoring records of ICU ward in our hospital were collected,SPSS was used to make statistical analysis of the collected data,and the hospital sense control chart was used to monitor the"three catheters"infection in ICU,in order to find problems for improvement.Results From January 2015 to December 2019,30-96 cases of new patients were admitted to ICU of our hospital every month,with 0-5 new cases of CLABSI every month,with the total time of central venous catheterization and with 202-449 days every month,and with the incidence of CLABSI 0-14.71 cases per thousand catheter day.And 0-6 new cases per month occurred,with the total time of urethral catheterization 213-449 days every month,with the incidence of CAUTI 0-19.01 cases per thousand catheter day.While 0-5 new cases per month of VAP occurred,with the total time of using ventilator every month,and the incidence of VAP was 0-19.01 cases per thousand catheter day.Every month,the data monitoring points of CLABSI,CAUTI and VAP incidence fell within the control limit,fluctuated on and off the central line,and there was no abnormal arrangement of data points.Every month,the incidences of CLABSI,CLABSI,CAUTI and VAP were different data points outside the warning limit,the rest were within the warning limit without abnormal arrangement,and"three catheters"infection was under control.Conclusion With the help of hospital quality control chart,we can scientifically and intuitively analyze the status of"three catheters"infection in ICU,which has the characteristics of simple operation,intuitive results and timely detection of problems.It can be widely used in the daily monitoring of ICU hospital infection.

关 键 词：重症医学科 中心静脉导管相关性血流感染 导尿管相关性泌尿道感染 呼吸机相关性肺炎 院感控制图 

分 类 号：R197.323.4[医药卫生—卫生事业管理] R181.3[医药卫生—公共卫生与预防医学]