目标性监测对控制导管相关性血流感染的效果分析

Effect of Targeted Monitoring to Control Catheter-related Bloodstream Infection

目的研究目标性监测对控制重症监护病房(ICU)导管相关性血流感染的意义。方法开展导管相关性血流感染的目标性监测,通过更换抗菌涂层导管、静脉穿刺部位,加强无菌操作和手卫生管理,减少连接三通数目和置管时间等措施,监测导管相关性血流感染的发病率,并与未开展目标性监测前的发病率进行比较。结果开展目标性监测后,导管相关性血流感染发病率由开展前9.89%下降至3.02%,差异有统计学意义(P<0.05)。结论开展目标性监测对控制ICU导管相关性血流感染发病率具有显著效果,因此全面开展目标性监测对控制重点部位感染发病率有积极意义。

OBJECTIVE To evaluate the effect of targeted monitoring on controlling of catheter-related bloodstream infection in （CRBSI） intensive care unit （ICU）. METHODS The targeted monitoring was launched by using antibiotics coating catheter, changing venepuncture site, reinforcing aseptic technique and washing hand supervision, reducing three-way joint numbers and the detain time, then the incidence of CRBSI before and after the project was compared. RESULTS The incidence of CRBSI after the project decreased significantly from 9.89 % to 3.02%, the difference was statistically significant （P〈 0. 05）. CONCLUSION The targeted monitoring can effectively control the CRBSI in ICU, therefore launching the overall targeted monitoring can effectively control the nosocomial infection incidence.