期刊文献+

ICU中心静脉导管相关血流感染的监测 被引量:24

Surveillance for central venous catheter-related bloodstream infection in ICU
下载PDF
导出
摘要 目的探讨中心静脉导管相关血流感染(CRBSI)监测的价值。方法对中心静脉置管和维护过程中的手卫生、无菌技术及CRBSI感染率进行监测,分析感染率变化的原因,制定实施针对性措施。结果 CRBSI感染率从4月10.14‰下降至5~6月为0,中心静脉导管使用率从2月80.22%降至5月49.90%。结论过程和结果监测有利于及时发现危险因素,有效控制CRBSI。 Objective To explore the value of surveillance for central venous catheter-related bloodstream infection(CRBSI).Methods In insertion and maintenance of central venous catheters,hand hygiene,aseptic technique and CRBSI rate were monitored,the fluctuation of CRBSI rate was analyzed,and corresponding measures were implemented.Results The CRBSI rate decreased from 10.14‰ in April to 0 in May and June.The usage rate of central venous catheters decreased from 80.22% in February to 49.90% in May.Conclusion The process and outcome surveillance for CRBSI can help detect risk factors and control CRBSI.
出处 《护理学杂志》 2011年第4期7-9,共3页
关键词 ICU 中心静脉导管相关血流感染 监测 预防 医院感染 管理 ICU central venous catheter-related bloodstream infection surveillance prevention nosocomial infection management
  • 相关文献

参考文献9

  • 1刘淑媛,陈永强.危重症护理专业规范化培训教材[M].北京:人民军医出版社,2008:534.
  • 2中华人民共和国卫生部.医院感染监测规范附录[S].2009.
  • 3O'Grady N P,Alexander M,Dellinger E P,et al.Guidelines for the prevention of intravascular catheter-related infections[J].MMWR Recomm Rep,2002,51(10):1-29.
  • 4Pronovost P J.Central line insertion checklist[EB/OL].[2010-08-31].http://www.ihi.org/IHI/Programs/Campaign/CentralLineInfection.htm.
  • 5Institute for Healthcare Improvement.Implement the central line bundle[EB/OL].[2010-08-31].http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Changes/Implement the Central Line Bundle.htm.
  • 6Pronovost P J,Goeschel C A,Colantuoni E,et al.Sustaining reductions in catheter-related bloodstream infections in Michigan intensive care units:observational study[J].Br Med J,2010,340:c309.
  • 7Render M L,Brungs S,Kotagal U,et al.Evidence-based practice to reduce central line infections[J].Jt Comm J Qual Patient Saf,2006,32(5):253-260.
  • 8Zingg W,Sax H,Inan C,et al.Hospital-wide surveillance of catheter-related bloodstream infection:from the expected to the unexpected[J].J Hosp Infect,2009,73(1):41-46.
  • 9郑瑞春,李幼生.循证护理预防血管内导管感染探讨[J].护理学杂志,2006,21(7):72-74. 被引量:3

二级参考文献11

  • 1郑立,李义贤,王逸茹,黄华兰.一针皮下隧道法预防导管相关并发症的效果观察[J].护理学杂志,2005,20(9):63-64. 被引量:5
  • 2SHORR A F,HUMPHREYS C W,HELMAN D L.New choices for central venous catheters:potential financial implications[J].Chest,2003,124(1):275-276.
  • 3BROGDEN B J.Current practice in administration of parenteral nutrition:venous access[J].Br J Nurs,2004,13(18):1068-1072.
  • 4CICALINI S,PALMIERI F,PETROSILLO N.Clinical review:new technologies for prevention of intravascular catheter-related infections[J].Crit Care,2004,8(3):157-160.
  • 5BERENHOLTZ S M,PRONOVOST P J,LIPSETT P A,et al.Eliminating catheter-related bloodstream infections in the intensive care unit[J].Crit Care Med,2004,32(10):2014-2019.
  • 6GUYATT G H.Evidence-based medicine[J].ACP J Club,1991,114(2):16-19.
  • 7OXMAN A D,SACKETT D L,GUYATT G H.Users' guides to the medical literature.How to get started.The Evidence-Based Medicine Working Group[J].JAMA,1993,270(17):2093-2095
  • 8GLUUD C,GLUUD L L.Evidence based diagnostics[J].BMJ,2005,330(7493):724-728.
  • 9魏娟,曹亚红,陈秀敏,杨瑞玲.外周静脉穿刺植入中心静脉导管在肿瘤化疗中的应用[J].护理学杂志(综合版),2000,15(8):471-472. 被引量:68
  • 10张科菊,张建华,刘琳.颈内静脉留置双腔导管肝素封管剂量探讨[J].护理学杂志(综合版),2001,16(1):33-34. 被引量:39

共引文献5

同被引文献149

引证文献24

二级引证文献141

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部