集束化护理管理在预防新生儿PICC导管相关性血流感染中的应用

Application of central line bundle in prevention of PICC catheter-related bloodstream infection in neonates

目的:探讨集束化护理管理(CLB)在预防新生儿PICC导管相关性血流感染(CRBSI)中的应用效果。方法:将2017年1月~8月收治的40例新生儿作为对照组,采取一般的深静脉置管护理;将2017年9月~2018年6月收治的40例新生儿作为观察组,实施CLB。比较两组CRBSI发生率、医护人员手卫生依从性、抗生素和PICC应用情况。结果:观察组CRBSI感染率低于对照组(P<0.05);观察组医护人员手卫生依从率明显高于对照组(P<0.05),且抗生素应用时间、PICC使用率和留置时间均明显低于对照组(P<0.01,P<0.05)。结论:CLB可以降低新生儿CRBSI发生率,且可以提高医护人员手卫生依从性,提高抗生素和PICC导管的应用效率,从而保障了新生儿静脉输液的顺利开展。

Objective:To investigate the clinical effect of central line bundle(CLB)in preventing catheter related bloodstream infections(CRBSI)for neonates undergoing PICC.Methods:A total of 40 neonates admitted from January to August 2017 were taken as the control group,and general deep vein catheterization nursing was adopted.40 neonates admitted from September 2017 to June 2018 were treated as observation group,and CLB was conducted.Between the two groups,the incidence of CRBSI,hand hygiene compliance and the use of antibiotics and PICC were compared.Results:Compared with the control group,the infection rate of CRBSI in the observation group was lower(P<0.05),the compliance rate of hand hygiene was significantly higher(P<0.05),and the average days of antibiotic application,PICC usage rate and indwelling time were significantly lower(P<0.05).Conclusion:CLB can reduce the incidence of neonatal CRBSI,improve the hand hygiene compliance of medical staff and the efficiency application of antibiotics and PICC,thus ensuring the smooth development of neonatal intravenous infusion.