临床路径对医院感染发生率的影响

Impact of Clinical Pathways on the Incidence Rate of Hospital Acquired Infection

目的研究推行临床路径对医院感染防控工作的影响。方法统计开展临床路径工作2010年3月-2011年12月(22个月)的临床路径病例8928例,2012年1月-2013年10月(22个月)的临床路径病例6775例作为实验组,回顾性选取未实施临床路径的2008年5月-2010年2月(22个月)临床路径病例5223例为对照,对临床路径前后医院感染发生率进行了比较。采用卡方检验进行组间医院感染发生率的比较,医院感染发生率变化趋势研究采用趋势卡方检验。结果开展临床路径工作后,由于医院感染的防控措施得以标准化实施,与开展临床路径之前相比较,医院感染发生率从0.62%降至0.29%,通过趋势研究以及结合医院感染发生率实际监测结果,认为随着临床路径工作的推进,入径患者逐渐增加,医院感染发病例数减少,入径患者的医院感染发生率有下降趋势。结论临床路径的应用,促进了医院感染防控措施的规范化实施,提高了稀缺的医疗资源的利用效率,且入径患者的医院感染发病率有下降趋势。临床路径是医院感染管理者和临床紧密结合的切入点,对于全面提升医院感染管理水平具有重要的现实意义。

Objective To study the impact on hospital acquired infection prevention and control work with the implementation of clinical pathways. Methods 8928 cases of clinical pathways patients from March 2010 to December 2011 and 6775 cases from January 2012 to October 2013 were selected as experimental group, 5223 cases of patients without clinical pathways from May 2008 to February 2010 were retrospectively selected as control group, then compared the hospital acquired infection rate. To compare the incidence rate of hospital infection with chi-square test, and trend ehi-square test was adopted to research the changing tendency of incidence rate of hospital infection. Results After the implementation of clinical pathways work, hospital acquired infection prevention and control measures for standardized implementation, the incidence rate of hospital infection decreased from O. 62% to 0.29%. Through the trend research and combined with the actual monitoring results nosocomial infections, we thought the patients of clinical pathways increased gradually with the development of clinical pathway work, the hospital infection were reduced, the incidence rate had a decreasing trend. Conclusions With the application of clinical pathways, the standardization of the hospital infection prevention and control measures were promoted, the efficiency of the use of the scarce medical resources was improved, and the incidence rate of hospital infection in patients had a decreasing trend. The clinical path was the entry point of the hospital infection management and clinical close integration, which had important realistic significance for the overall improvement of hospital infection management level.