感染控制专科护士在预防ICU中心静脉导管相关性血流感染中的作用

Infection control nurse's role in the prevention of intravascular catheter-related blood stream infection in the intensive care unit

目的探讨感染控制专科护士在预防ICU内导管相关性血流感染(catheter-related blood stream infection,CRBSI)方面的作用和成效。方法在ICU设立感染控制专科护士,负责引入和制订CRBSI预防相关的指南,进行相关人员的教育、培训和管理,并进行感染监测。结果在采取一系列措施后,手卫生的依从性明显提高,手消毒液消耗量从4.1ml/患者日增加到65.2ml/患者日;导管使用率从67.6%降低到62.8%;感染率从4.29‰降低到0。结论感染控制专科护士的设立在制订感染控制指南和落实感染控制措施等方面发挥了重要作用,对预防CRBSI有着重要的意义。

Objective To explore the role of infection control nurse in the prevention of catheter-related blood stream infection （CRBSI） in intensive care unit. Methods The position of infection control nurse was set up to formulate guideline for CRBSI prevention,provide training and supervision for the staff,and monitor the CRBSI rate. Results The medical staff com- pliance with hand hygiene was significantly enhanced. The consume of antiseptic hand-rub products increased from 4.1ml per patient day to 65.2 ml per patient day. The percentage of patients with a central venous catheter decreased from 67.6% to 62.8%. The CRBSI rate decreased from 4.29‰ to zero. Conclusion Infection control nurse plays an important role in the formulation and implementation of guideline for infection control as well as the prevention of CRBSI.