重症监护病房导尿管相关性泌尿系统感染集束化干预策略的效果研究

The effects of bundle intervention strategies to patients with Catheter-Associated Urinary Tract Infection

目的:评价运用多准则决策分析法构建集束化干预策略对导尿管相关性泌尿系统感染(CatheterAssociated Urinary Tract Infection,CAUTI)的预防效果。方法:将2016年7-12月1 955例留置导尿管ICU住院患者作为对照组,进行回顾性分析,将2017年7-12月1 922例留置导尿管ICU住院患者作为干预组,运用多准则决策分析法构建集束化干预策略并在临床实施,随机抽查60例干预组留置导尿管患者干预策略执行依从性,比较干预前后CAUTI感染发生率。结果:干预组实施集束化干预策略的执行率>95%(除护士采用评估单提醒医生每日评估留置导尿管的必要性),对照组与干预组CAUTI千日感染率分别为3.32例/1 000导管日和1.48例/1 000导管日,差异有统计学意义(P<0.05)。结论:重症监护病房实施集束化干预策略预防CAUTI能够有效减少病原菌的侵入,降低CAUTI感染发生率。

Objective： To explore the effects of bundle intervention strategies to patients with Catheter-Associated Urinary Tract Infection （CAUTI）. Methods： Retrospectively analysis method was applied. A Multi-Criteria Decision Analysis method was performed to set up the cluster intervention strategy. The compliance rate of the bundle intervention strategy of 60 patients with CAUTI was analyzed before and after intervention. Results： The infection rates of the control group and intervention group were 3.32/1,000 catheter days and 1.48/1 000 catheter days respectively, the difference between the two groups was statistically significant （P〈0.05）. The compliance rate of bundle intervention strategy of the intervention group was 〉95%. Conclusion： Bundle intervention strategy can be performed in ICU to reduce the incidence of CAUTI.