Heinrich Ines, Geßner Stephan, Wegner Christian, Heidecke Claus-Dieter, Kramer Axel
Institute of Hygiene and Environmental Medicine, University Medicine Greifswald, Ernst-Moritz-Arndt University, Greifswald, Germany.
GMS Hyg Infect Control. 2013 Apr 29;8(1):Doc06. doi: 10.3205/dgkh000206. eCollection 2013.
Device-associated infections comprise a significant proportion of all nosocomial infections. In this prospective, observational pilot study the incidence of infections in 89 peripheral venous catheters (PVCs) was documented on a general surgical ward employing an infection data sheet developed by the Institute of Hygiene and Environmental Medicine, Greifswald in adherence to CDC standards for infections. 16 of 20 infections were documented during a four-week time period when medical students in the first four months of their practical year performed their compulsory rotation on the general surgical ward. Insufficient knowledge of adequate hygienic measures as well as non-compliance to aseptical procedural measures prior to and following insertion of a peripheral venous catheter are the assumed instigators of these infections. In order to ensure a uniform hygienic standard in the performance of applied procedures, it is essential that medical students during this practical year receive not only theoretical, but also hands-on schooling prior to initiation of their subsequent official residency.
与设备相关的感染在所有医院感染中占很大比例。在这项前瞻性观察性试点研究中,采用了格赖夫斯瓦尔德卫生与环境医学研究所制定的感染数据表,并遵循美国疾病控制与预防中心(CDC)的感染标准,记录了普通外科病房89根外周静脉导管(PVC)的感染发生率。20例感染中有16例记录于医学生在其实习年的前四个月在普通外科病房进行强制轮转的四周期间。对外周静脉导管插入前后适当卫生措施的了解不足以及不遵守无菌操作程序被认为是这些感染的诱因。为了确保在实施应用程序时保持统一的卫生标准,至关重要的是,医学生在其实习年期间,在开始正式住院医师培训之前,不仅要接受理论培训,还要接受实践培训。