重症监护病房血管导管相关血流感染发病率及预防措施多中心调查

目的了解某市三级医院重症监护病房(ICU)中心静脉导管相关血流感染(CRBSI)预防与控制质量安全管理现状,探讨其对策。方法用自行设计的问卷,调查CRBSI防控及质量管理现状。结果8所医院ICU CRBSI发病率为4.81‰,例次发病率为5.02‰。6所(75.00%)医院具有预防CRBSI标准操作规程,2所(25.00%)医院有中心静脉导管(CVC)维护专用记录单,仅2所(25.00%)医院实施了最大无菌屏障和置管组合措施,无医院使用抗感染敷料和氯己定洗浴。结论该市三级医院ICU预防与控制CRBSI标准操作规程及落实控制措施方面存在很多问题,有待加强和改进。

Incidence and prevention measures of catheter related bloodstream infection in intensive care unit

ObjectiveTo investigate the management of prevention and control of catheter related bloodstream infection (CRBSI) in intensive care units (ICUs) of tertiary hospitals in a city, and explore stategies. MethodsData about CRBSI prevention and control as well as quality management were collected and surveyed by self developed questionnaires.  ResultsOf ICUs in 8 hospitals, the incidence of CRBSI was 4.81‰, case infection rate was 5.02‰. 6（75.00%） hospitals had standard operating instruction for the prevention and control of CRBSI, 2 (25.00%) hospitals had maintenance record on central venous catheter, and 2(25.00%) hospitals implemented maximum sterile barrier and catheterization combination strategy, none hospital adopted anti infective dressing and chlorhexidine bathing.ConclusionThere are many problems in the standard operating instruction and implementation of measures for the prevention and control of CRBSI in ICUs of tertiary hospitals in this city, which needs to be improved.