ICU导管目标性监测与干预对多重耐药菌感染控制的效果分析.pdfVIP

14 中国医疗管理科学2014年9月第4卷第3期 Chinese JournaI of MedicaI Management Sciences, September 2014, VoI.4 No.3 ·医疗安全· ICU导管目标性监测与干预对多重耐药菌感染控制 的效果分析 柴国珍 杨君丽 【摘要】目的 了解ICU住院患者导管多重耐药菌感染现状，增强医护人员对导管感染的防控意识，从而 方法 自觉约束医疗行为，降低导管多重耐药菌感染的发生率。 采用回顾性调查方法，统计该院2010年～2013 年ICU开展3种导管目标性监测以来的所有数据，并进行分析。结果 自该院ICU开展导管目标性监测以来，总 监测2064人次，整个监测过程中实行干预措施，感染人次率从2010年的5.39%降至2013年的3.42%，其中导 尿管插管相关泌尿道感染率从2010年的5.95‰降至2013年的2.23‰，中心静脉插管相关血液感染率从6.26‰ 降至2.56‰，呼吸机相关性肺炎感染率从36.15‰降至17.24‰。结论 导管的目标性监测可以准确地获取患者 的资料，掌握其动态，及时制定有效的预防措施，降低感染发生率，从而保障患者安全与医疗安全。 【关键词】 目标性监测 ；干预；导管；多重耐药；效果分析 Analysis of the Effect of Targeted Monitoring and Intervention of ICU Catheter on the Control of Multiple Drug-resistant Bacteria Infection Chai Guozhen, Yang Junli. Songzi People’s Hospital, Songzi 434200, Hubei Province, China. Corres pondangouther: Chai Guozhen, Email: honghu197441@163.com 【 】 Abstract Purpose To understand the current situation of multiple drug-resistant bacteria infection of catheter of ICU inpatients, strengthen medical staffs’ prevention and control consciousness of catheter infection, consciously constraint the medical behavior, and reduce the incidence of multiple drug-resistant bacteria infection of catheter. Method The retrospective survey method is used for statistics and analysis of all the data since ICU of the hospital conducted the targeted monitoring of three kinds of catheters from 2010 to 2013. Results Since ICU of the hospital conducted the targeted monitoring, totally 2064 person-time has been monitored. The intervention measures were taken in the whole monitoring process. The person-time rate of infection was reduced from 5.39% in 2010 to 3.42% in 2013. Among them, the infection rate of urinary tract related to the urinary catheter was reduced from 5.95 ‰ in 2010 to 2.23‰ in 2013. The infection rate of blood