综合重症监护病房中心静脉导管相关性血流感染监测与控制效果分析

Monitor and control of central venous catheter-related bloodstream infections in general intensive care unit

目的降低重症监护病房导管相关性血流感染(CRBSI)的发生率。方法 A组采取回顾性调查方法,查阅出院病历,逐项填写记录表;B组采取目标性监测方法,由两名深静脉导管专职护理护士负责具体操作,采取一系列感染控制措施,将两组资料分别进行汇总统计、分析判断、计算感染率并做比较。结果 A组导管相关性血流感染率为20.9‰,B组实行目标性监测落实感染控制各项措施后,导管相关性血流感染率下降至5.4‰,差异有统计学意义(P<0.05)。结论在综合控制措施中,提高医护人员在医疗活动中的技术水平和执行力,设专业导管护理小组进行中心静脉置管全过程质量管理,是降低导管相关性血流感染非常有效的措施。

OBJECTIVE To reduce the incidence of catheter-related bloodstream infections.METHODS A retrospective survey was performed to Group A by searching for discharged patients and completing a record sheet item by item.A targeted surveillance to Group B was performed,There were two full-time care nurses in charge of specific operations on central venous catheter by adopting a series of infection control measures,the data of the two groups were aggregated statistics,analyzed and judged,the infection rates were calculated and compared.RESULTS The catheter-related bloodstream infection rate of group A was 20.9‰,Group B took the method of targeted survey and implemented measures of infection control,the catheter-related bloodstream infection rate fell to 5.4 ‰,it was significantly different（P0.05）.CONCLUSION In the comprehensive control measures,it is a very effective measure of setting professional nursing team on the whole process of quality management on central venous catheter tube and improving the technical level and execution of the doctors and nurses in the medical activities to reduce the catheter-related bloodstream infections.