评估一项基于证据、由护士主导的检查表，以预防重症监护病房中与导管相关的医院获得性尿路感染。
Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.
作者信息
Fuchs Mary Ann, Sexton Daniel J, Thornlow Deirdre K, Champagne Mary T
机构信息
Duke University Hospital and Health System, Durham, North Carolina 27710, USA.
出版信息
J Nurs Care Qual. 2011 Apr-Jun;26(2):101-9. doi: 10.1097/NCQ.0b013e3181fb7847.
Catheter-associated urinary tract infections account for 40% of all health care-associated infections. An evidence-based, nurse-driven daily checklist for initiation and continuance of urinary catheters was implemented in 5 adult intensive care units. Measures of compliance, provider satisfaction, and clinical outcomes were recorded. Compliance with the checklist was 50 to 100%: catheter-associated urinary tract infections decreased from 2.88 to 1.46 per 1000 catheter days and catheter days decreased in 2 intensive care units.
导尿管相关尿路感染占所有医疗保健相关感染的40%。在5个成人重症监护病房实施了一项基于证据、由护士主导的导尿管置入与持续使用日常检查表。记录了依从性、医护人员满意度和临床结果的指标。检查表的依从率为50%至100%：导尿管相关尿路感染从每1000导尿管日2.88例降至1.46例，2个重症监护病房的导尿管日数减少。
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