质量控制图在重症医学科“三管”感染控制中的应用

Application of quality control chart in 3-catheter infection control in ICU

目的观察质量控制图在重症医学科(ICU)“三管”感染管理中应用。方法收集2012年1月-2020年12月医院ICU病房每年的“三管”监测数据,分析并建立“三管”感染质量控制图。结果ICU病房每年尿管插管总时长1173~3642 d,每年导尿管相关性泌尿道感染(CAUTI)发生率为0‰~3.17‰;每年中心静脉插管总时长905~2854 d,每年中心静脉导管相关性血流感染(CLABSI)发生率为0.64‰~5.30‰;每年呼吸机使用总时长739~2757 d,每年呼吸机相关性肺炎(VAP)发生率为2.38‰~6.98‰。质量控制图显示每年CAUTI、CLABSI、VAP发生率数据点均落在控制限内,处于可控状态。结论质量控制图可直观监控ICU“三管”感染发生情况。

Objective To observe the application of quality control chart(QCC)in control in ICU.Methods The annual 3-catheter monitoring data in ICU during January 2012 and December 2020 were analyzed,followed by establishing QCC of 3-catheter infection.Results The overall time of urinary catheter,central venous intubation,and ventilator per year was 1173-3642 d,905-2854 d,and 739-2757 d,respectively.The annual incidence of catheter-related urinary tract infection(CAUTI),central venous catheter-related bloodstream infection(CLABSI),and ventilator-associated pneumonia(VAP)was 0‰-3.17‰,0.64‰-5.30‰,and 2.38‰-6.98‰,respectively.QCC showed that annual incidence of CAUTI,CLABSI and VAP was within control limit.Conclusion QCC can monitor intuitively the occurrence of 3-catheter infection in ICU.