主管：国家卫生健康委员会
主办：国家卫生健康委医院管理研究所
中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (6): 819-824.doi: 10.3969/j.issn.1672-1756.2022.06.005

• 特别策划·导管相关血流感染预防 • 上一篇    下一篇

多学科协作预防中央导管相关血流感染的效果分析

赵慧函 杨丽 凌瑛 滕海英 陈国连 周雪梅 李高叶 应燕萍   

  1. 广西医科大学第一附属医院血液内科，530021 南宁市（赵慧函，周雪梅）；护理部（杨丽，凌瑛，李高叶，应燕萍）；神经内科（滕海英）；肿瘤内科（陈国连）
  • 出版日期:2022-06-15 发布日期:2022-06-15
  • 通讯作者: 应燕萍，硕士，教授，博士生导师，副院长，E-mail:yanpingying0116@126.com
  • 作者简介:赵慧函，硕士，副主任护师
  • 基金资助:
    广西医科大学第一附属医院护理临床研究攀登计划项目（YYZS2020025，YYZS2020031）；广西医疗卫生适宜技术开发与推广应用项目（S2021111）

Effects of multidisciplinary cooperation to prevent Central Line-Associated Bloodstream Infection

ZHAO Huihan, YANG Li, LING Ying, TENG Haiying, CHEN Guolian, ZHOU Xuemei, LI Gaoye, YING Yanping   

  1. Department of Hematology, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China
  • Online:2022-06-15 Published:2022-06-15
  • Contact: E-mail:yanpingying0116@126.com

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摘要： 目的：分析多学科协作预防中央导管相关血流感染（CLABSI）的效果，以期为CLABSI防控管理提供参考。方法：以2020年数据为对照，2021年为干预期，干预前静脉治疗专科小组定期开展导管维护、经外周静脉置入中心静脉导管（PICC）置管培训及考核，感染控制科开展手卫生培训并动态监测CLABSI；干预期构建多学科协作小组，通过回顾分析及现况调查明确根本原因，制定工作任务及实施步骤，从重点科室、中心静脉导管（CVC）置管、导管维护等重点环节改善。动态监测CLABSI发生率及CLABSI防控措施依从率变化情况。结果：2020年CLABSI发生率为0.115‰，2021年CLABSI发生率为0.138‰。2021年第二季度CLABSI发生率上升为0.251‰，但干预后第三、四季度相比第二季度CLABSI发生率分别下降了53.4％、51.4％。CLABSI防控管理措施总依从率、CVC置管措施总依从率、PICC维护措施总依从率均有显著提升（P均<0.05）。结论：多学科协作可以提高CLABSI防控重点措施依从率，降低CLABSI发生率，可为CLABSI防控管理提供参考。

关键词: 中心静脉导管；血流感染；感染控制

Abstract: Objective: To analyze the effectiveness of multidisciplinary cooperation on preventing Central Line-Associated Bloodstream Infection (CLABSI), in order to provide reference for CLABSI prevention and control management. Methods: January to December 2020 was selected as control period, January to December 2021 was selected as intervention period. In the control period, special group of infusion therapy carried out catheter maintenance, Peripherally Inserted Central Catheters (PICC) catheterization training and assessment periodically. Infection control department carried out hand hygiene training and monitored CLABSI dynamically. In the intervention period, a multidisciplinary cooperation team was built followed by retrospective analysis of CLABSI events and investigating compliance of CLABSI prevention as to target the root causes. Tasks and steps of each discipline and department in reducing CLABSI were developed and carried out targeting key aspects (key departments, Central Venous Catheter catheterization and catheter maintenance). The incidence of CLABSI and the compliance of CLABSI prevention measures were monitored and reviewed, dynamically. Results: The incidence of CLABSI in 2020 and 2021 years were 0.115‰, 0.138‰ respectively. The incidence of CLABSI increased up to 0.251‰ in the second quarter. After multidisciplinary collaborative intervention, the incidence of CLABSI in the third and fourth quarters compared with the second quarter decreased by 53.4% and 51.4% respectively. The total compliance of CLABSI prevention management, the total compliance of Central Venous Catheter catheterization measures, and the total compliance of PICC maintenance increased significantly (P<0.05). Conclusion: Multidisciplinary collaborative intervention can significantly improve the total compliance of CLABSI prevention measures, reduce the incidence of CLABSI, which can provide reference for CLABSI prevention and control management.

Key words: Central Venous Catheters; bloodstream infection; infection control

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