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诊断管理干预后导尿管相关尿路感染的减少

Reduction in catheter-associated urinary tract infections following a diagnostic stewardship intervention.

作者信息

Awoyomi Olubosede, Wang Yongsheng, Bakare Temilola, Bradbury Alison, Episcopia Briana, Castro-Auvet Patricia, Fornek Mary, Quale John

机构信息

Department of Infection Prevention, NYC Health+Hospitals/Kings County, Brooklyn, NY.

Department of Infection Prevention, NYC Health+Hospitals/Kings County, Brooklyn, NY.

出版信息

Am J Infect Control. 2024 Feb;52(2):255-257. doi: 10.1016/j.ajic.2023.09.020. Epub 2023 Oct 6.

DOI:10.1016/j.ajic.2023.09.020
PMID:37805028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10996837/
Abstract

Catheter-associated urinary tract infections (CAUTIs) are a frequent hospital-acquired infection and public health concern. In an attempt to reduce the number of CAUTIs, an intervention that emphasized the appropriate laboratory evaluation by ordering providers was implemented. This intervention supplemented ongoing standard bundle protocols. Compared to the 16 months before the intervention, there was a significant decrease in the number of CAUTIs during the 12-month intervention period.

摘要

导尿管相关尿路感染（CAUTIs）是一种常见的医院获得性感染，也是公共卫生关注的问题。为了减少CAUTIs的数量，实施了一项强调医嘱开具者进行适当实验室评估的干预措施。该干预措施补充了正在进行的标准集束方案。与干预前的16个月相比，在12个月的干预期内，CAUTIs的数量显著减少。

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本文引用的文献

1
Pragmatic review of interventions to prevent catheter-associated urinary tract infections (CAUTIs) in adult inpatients.成人住院患者预防导管相关性尿路感染（CAUTI）干预措施的实用评价。
J Hosp Infect. 2023 Jun;136:55-74. doi: 10.1016/j.jhin.2023.03.020. Epub 2023 Apr 2.
2
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.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）。
Am J Infect Control. 2023 Mar;51(3):319-323. doi: 10.1016/j.ajic.2022.08.006. Epub 2022 Aug 7.
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Correlation of Pyuria and Bacteriuria in Acute Care.
急性护理中脓尿与菌尿的相关性。
Am J Med. 2022 Sep;135(9):e353-e358. doi: 10.1016/j.amjmed.2022.04.022. Epub 2022 May 14.
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Catheter-associated urinary tract infection reduction in critical care units: a bundled care model.重症监护病房中导管相关尿路感染的降低：捆绑式护理模式。
BMJ Open Qual. 2021 Dec;10(4). doi: 10.1136/bmjoq-2021-001534.
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Infect Control Hosp Epidemiol. 2014 May;35(5):464-79. doi: 10.1086/675718.
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Clin Infect Dis. 2010 Mar 1;50(5):625-63. doi: 10.1086/650482.
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Med Clin North Am. 1991 Mar;75(2):313-25. doi: 10.1016/s0025-7125(16)30456-4.