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中心静脉导管相关血流感染率升高:是归因于国家医疗保健安全网络监测定义的变化、持续存在的感染预防机会,还是两者皆有?

Central line-associated bloodstream infection rate elevation: Attributable to National Healthcare Safety Network surveillance definition changes, ongoing opportunities for infection prevention, or both?

机构信息

Department of Community-Public Health, Johns Hopkins University School of Nursing, Baltimore, MD; Cardiovascular Surgical Intensive Care Unit, Johns Hopkins Hospital, Baltimore, MD.

Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, MD.

出版信息

Am J Infect Control. 2017 Sep 1;45(9):1030-1032. doi: 10.1016/j.ajic.2017.04.282. Epub 2017 Jul 20.

Abstract

Calendar year 2015 intensive care unit (ICU) central line-associated bloodstream infections (CLABSIs) from 1 hospital were reviewed using 2014 CLABSI surveillance definitions to assess the relative impact of definition changes and infection control practices on CLABSI rates. Increased ICU primary CLABSI rates were found to be a result of both surveillance definition changes and infection control practices.

摘要

对 2015 年一家医院的重症监护病房(ICU)中心静脉导管相关血流感染(CLABSIs)进行了回顾性研究,使用 2014 年 CLABSI 监测定义来评估定义变化和感染控制实践对 CLABSI 发生率的相对影响。发现 ICU 原发性 CLABSI 发生率的增加是监测定义变化和感染控制实践共同作用的结果。

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