实施集束干预措施对降低导管相关血流感染率的影响。
The Impact of Implementation of Bundle to Reduce Catheter-Related Bloodstream Infection Rates.
作者信息
Menegueti Mayra Goncalves, Ardison Kym Marcel Martins, Bellissimo-Rodrigues Fernando, Gaspar Gilberto Gambero, Martins-Filho Olindo Assis, Puga Marcelo Lourencini, Laus Ana Maria, Basile-Filho Anibal, Auxiliadora-Martins Maria
机构信息
Division of Intensive Care, Department of Surgery and Anatomy, Ribeirao Preto Medical School, University of Sao Paulo, SP 14049-900 Ribeirao Preto, Brazil ; Hospital Infection Control Committee, Ribeirao Preto Medical School, University of Sao Paulo, SP 14049-900 Ribeirao Preto, Brazil ; Ribeirao Preto Nursing School, University of Sao Paulo, SP 14049-900 Ribeirao Preto, Brazil.
Getulio Vargas Foundation, Brazilian School of Economy and Finance, Rio de Janeiro, Brazil.
出版信息
J Clin Med Res. 2015 Nov;7(11):857-61. doi: 10.14740/jocmr2314w. Epub 2015 Sep 25.
BACKGROUND
The aim of the study was to investigate how control bundles reduce the rate of central venous catheter-associated bloodstream infections (CVC-BSIs) rates in critically ill patients.
METHODS
This is a prospective before-and-after study designed to evaluate whether a set of control measures (bundle) can help prevent CVC-BSI. The bundles included a checklist that aimed to correct practices related to CVC insertion, manipulation, and maintenance based on guidelines of the Center for Disease Control and Prevention (CDC).
RESULTS
We examined 123 checklists before and 155 checklists after implementation of the training program. Compared with the pre-intervention period, CVC-BSI rates decreased. Hand hygiene techniques were used correctly. CVC-BSI incidence was 9.3 and 5.1 per 1,000 catheter-days before and after the training program, respectively.
CONCLUSIONS
The implementation of a bundle and training program effectively reduces CVC-BSI rates.
背景
本研究的目的是调查控制措施组合如何降低重症患者中心静脉导管相关血流感染（CVC-BSIs）的发生率。
方法
这是一项前瞻性前后对照研究，旨在评估一套控制措施（措施组合）是否有助于预防CVC-BSI。这些措施组合包括一份清单，旨在根据疾病控制与预防中心（CDC）的指南纠正与CVC插入、操作和维护相关的做法。
结果
我们在培训计划实施前检查了123份清单，实施后检查了155份清单。与干预前期相比，CVC-BSI发生率有所下降。手部卫生技术得到正确使用。培训计划实施前后，CVC-BSI的发生率分别为每1000导管日9.3例和5.1例。
结论
实施措施组合和培训计划可有效降低CVC-BSI发生率。
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