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一所大学附属医院对导管相关尿路感染的电子监测。

Electronic surveillance for catheter-associated urinary tract infections at a university-affiliated children's hospital.

作者信息

Sen Anita I, Balzer Krystal, Mangino Diane, Messina Maria, Ross Barbara, Zachariah Philip, Saiman Lisa

机构信息

Department of Pediatrics, Columbia University Medical Center, New York, NY.

Department of Infection Prevention and Control, NewYork-Presbyterian Hospital, New York, NY.

出版信息

Am J Infect Control. 2016 May 1;44(5):599-601. doi: 10.1016/j.ajic.2015.12.006. Epub 2016 Feb 5.

DOI:10.1016/j.ajic.2015.12.006
PMID:26856468
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5432012/
Abstract

We sought to describe the characteristics of catheter-associated urinary tract infections (CAUTIs) in a children's hospital while demonstrating efficacy of electronic identification of CAUTIs. There were 25 CAUTIs identified over 24 months, with most (88%) occurring in the intensive care units (ICUs). The incidence of ICU CAUTIs decreased during the study period (P = .04). Concordance between electronic identification and validation by infection control staff was 83% and increased to 100% with correction of nursing documentation.

摘要

我们试图描述一家儿童医院中导管相关尿路感染(CAUTIs)的特征,同时展示CAUTIs电子识别的有效性。在24个月内共识别出25例CAUTIs,其中大多数(88%)发生在重症监护病房(ICU)。在研究期间,ICU中CAUTIs的发生率有所下降(P = 0.04)。电子识别与感染控制人员验证之间的一致性为83%,在纠正护理记录后提高到了100%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e76c/5432012/e0c05770f524/nihms783807f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e76c/5432012/e0c05770f524/nihms783807f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e76c/5432012/e0c05770f524/nihms783807f1.jpg

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本文引用的文献

1
Reducing catheter-associated urinary tract infections: a quality-improvement initiative.降低导管相关尿路感染:一项质量改进举措。
Pediatrics. 2014 Sep;134(3):e857-64. doi: 10.1542/peds.2013-3470. Epub 2014 Aug 11.
2
The impact of a quality improvement intervention to reduce nosocomial infections in a PICU.提高 PICU 感染防控质量干预措施对减少医院感染的影响。
Pediatr Crit Care Med. 2013 Jun;14(5):525-32. doi: 10.1097/PCC.0b013e31828a87cc.
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Device-associated infection rates in adult and pediatric intensive care units of hospitals in Egypt. International Nosocomial Infection Control Consortium (INICC) findings.
埃及医院成人和儿科重症监护病房的器械相关感染率。国际医院感染控制联盟(INICC)的发现。
J Infect Public Health. 2012 Dec;5(6):394-402. doi: 10.1016/j.jiph.2012.07.002. Epub 2012 Sep 26.
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Findings of the International Nosocomial Infection Control Consortium (INICC), Part I: Effectiveness of a multidimensional infection control approach on catheter-associated urinary tract infection rates in pediatric intensive care units of 6 developing countries.国际医院感染控制联合会(INICC)研究结果,第一部分:多维度感染控制方法对 6 个发展中国家儿科重症监护病房导尿管相关尿路感染率的影响。
Infect Control Hosp Epidemiol. 2012 Jul;33(7):696-703. doi: 10.1086/666341. Epub 2012 May 24.
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Device-associated infections rates in pediatrics and neonatal intensive care units in El Salvador: findings of the INICC.萨尔瓦多儿科和新生儿重症监护病房的器械相关感染率:国际儿科和新生儿重症监护病房感染协作研究(INICC)的研究结果
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Pathogen incidence and antibiotic resistance patterns of catheter-associated urinary tract infection in children.儿童导管相关尿路感染的病原体发生率及抗生素耐药模式
J Chemother. 2009 Dec;21(6):661-5. doi: 10.1179/joc.2009.21.6.661.
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A comprehensive decision support system for the identification, monitoring and management of patients with multi-drug resistant organisms (MDRO).一个用于识别、监测和管理多重耐药菌(MDRO)患者的综合决策支持系统。
AMIA Annu Symp Proc. 2008 Nov 6:1218.