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在 COVID-19 大流行期间，利用多学科团队采用多管齐下的方法，降低社区学术医疗中心的导管相关性尿路感染（CAUTI）。

Decreasing Catheter-Associated Urinary Tract Infection (CAUTI) at a community academic medical center using a multidisciplinary team employing a multi-pronged approach during the COVID-19 pandemic.

机构信息

University Hospitals Parma, Parma, OH.

University Hospitals Parma, Parma, OH.

出版信息

Am J Infect Control. 2023 Mar;51(3):319-323. doi: 10.1016/j.ajic.2022.08.006. Epub 2022 Aug 7.

DOI:10.1016/j.ajic.2022.08.006
PMID:35948124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9357278/
Abstract

In the midst of the COVID - 19 pandemic, a multidisciplinary team implemented evidence-based strategies to eliminate catheter associated urinary tract infections (CAUTI), as defined by the National Healthcare Safety Network (NHSN) surveillance definition for those units included in the NHSN standardized infection ratio. The team evaluated indwelling urinary catheters daily for indication, implemented a urinary catheter order set, established a urinary catheter insertion checklist, and promoted use of external urinary diversion devices. The facility NHSN standardized infection ratio for CAUTI was 0.37 in 2019, 0.23 in 2020, and 0.00 in 2021. A collaborative approach decreasing hospital acquired infections may be effective even in a climate of increased acuity, increased length of stay, and staffing challenges.

摘要

在 COVID-19 大流行期间，一个多学科团队实施了基于证据的策略，以消除国家医疗保健安全网络 (NHSN) 监测定义中所定义的导管相关尿路感染 (CAUTI)，该定义适用于 NHSN 标准化感染率所包括的那些单位。该团队每天评估留置导尿管的适应证，实施导尿管医嘱集，建立导尿管插入核对清单，并推广使用外部导尿装置。该机构 2019 年 NHSN 标准化 CAUTI 感染率为 0.37，2020 年为 0.23，2021 年为 0.00。即使在病情加重、住院时间延长和人员配备挑战的情况下，采用协作方法降低医院获得性感染也可能是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f41/9357278/05ef813ca75c/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f41/9357278/7de89aeaf370/ga1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f41/9357278/c340b92c96a8/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f41/9357278/24fbbf668519/gr2a_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f41/9357278/05ef813ca75c/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f41/9357278/7de89aeaf370/ga1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f41/9357278/c340b92c96a8/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f41/9357278/24fbbf668519/gr2a_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f41/9357278/05ef813ca75c/gr3_lrg.jpg

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