导管相关血流感染预防控制实践的现状调查与分析

doi:10.3969/j.issn.1672-1756.2017.11.020

导管相关血流感染预防控制实践的现状调查与分析

孙众郝丽赵国敏刘聚源蔡虻

首都医科大学附属北京中医医院护理部, 100010（孙众，郝丽，赵国敏）；北京医院医院感染管理办公处（刘聚源，蔡虻）

出版日期:2017-11-25 发布日期:2017-11-25
基金资助:
北京医院“科技金星”项目（BJ-2016-042）

A survey of status of how nurses carry out clinical practice of prevention and control of Catheter-Related Blood Stream Infections

Online:2017-11-25 Published:2017-11-25

摘要/Abstract

摘要： 目的：调查国内导管相关血流感染防控的现状并与最佳实践指南对比，分析两者间的差距，为今后制定改进方案提供依据。方法：根据国内外指南设计导管相关血流感染防控实践调查问卷，于2015年7月1-30日对全国15个省、自治区、直辖市的122家医院进行问卷调查。结果：2 176例（88.0%)使用无菌巾作为最大无菌屏障用物；2 048例（82.8%)使用碘伏或碘酊等含碘消毒剂进行皮肤消毒；1 271例（51.4%) 1周更换2次透明敷料；1 039例（42.0%)在无指证的情况下不更换中心静脉导管；仅94例（3.8%)使用含氯己定成分的浴液擦浴。结论：目前国内落实防控导管相关血流感染最佳实践指南尚不理想，实际操作与指南有一定差距，护士在对其认知和执行方面仍有待提高。

Abstract: Objective: To investigate the current status of nursing regarding prevention and control of Catheter-Related Blood Stream Infections (CRBSI), and compared it with the best practice guideline. Methods: A questionnaire survey was conducted in 122 hospitals in 15 provinces from July 1st to 30 th, 2015. The questionnaire was designed according to guidelines both domestic and abroad. Results: 2 176 nurses (88.0%) used sterile drape as maximum sterile barrier precaution, 2 048 nurses (82.8%) adopted iodophor or iodine tincture for skin disinfection; 1 271 nurses (51.4%) changed transparent dressings twice a week; 1 039 nurses (42.0%) chose not to change CVCs without indications; 94 nurses (3.8%) chose to use bath fluid with chlorine. Conclusion: Currently the best practice guideline hass not carried out well in China. There is still a great gap between the best practice guideline and the current clinical nursing. The nurses' knowledge and practice of the best practice guideline of prevention and control CRBSI should be improved.

孙众郝丽赵国敏刘聚源蔡虻. 导管相关血流感染预防控制实践的现状调查与分析[J]. , 2017, 17(11): 1530-1535.