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在引入预防措施组合后,成功减少了因正确和不正确指征而进行的导尿管插入操作。

Successful reduction of urinary catheter placement for correct and incorrect indications after introduction of a prevention bundle.

作者信息

Cipriani Michela, Schlegel Matthias, Schwark-Bähler Marianne, Henz Samuel, Kohler Philipp, Albrich Werner C

机构信息

Departement of Infectious Diseases, Infection Prevention and Travel Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.

Department of General Internal Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.

出版信息

Antimicrob Steward Healthc Epidemiol. 2024 May 2;4(1):e71. doi: 10.1017/ash.2024.27. eCollection 2024.

DOI:10.1017/ash.2024.27
PMID:38721497
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11077593/
Abstract

The prospective before-after quality improvement study was to assess bundle effectiveness to reduce urinary catheter days and prevent associated complications. All patients with preexisting or new urinary catheters in a regional hospital in Switzerland were included. We showed a reduction of catheter days, incorrect urinary catheter indications, and most strikingly formally correct indications.

摘要

这项前瞻性前后对照质量改进研究旨在评估集束干预措施在减少导尿天数及预防相关并发症方面的有效性。瑞士一家地区医院中所有已留置或新置入导尿管的患者均被纳入研究。我们发现导尿天数、导尿管使用指征不当以及最显著的是形式上正确的指征均有所减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9232/11077593/545cfcf2c173/S2732494X24000275_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9232/11077593/545cfcf2c173/S2732494X24000275_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9232/11077593/545cfcf2c173/S2732494X24000275_fig1.jpg

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本文引用的文献

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Impact of an evidence-based intervention on urinary catheter utilization, associated process indicators, and infectious and non-infectious outcomes.基于证据的干预对导尿管使用、相关过程指标以及感染和非感染结果的影响。
J Hosp Infect. 2020 Oct;106(2):364-371. doi: 10.1016/j.jhin.2020.07.002. Epub 2020 Jul 10.
2
Change in staff perspectives on indwelling urinary catheter use after implementation of an intervention bundle in seven Swiss acute care hospitals: results of a before/after survey study.瑞士七家急性护理医院实施干预措施组合后医护人员对留置导尿管使用的观点变化:一项前后调查研究的结果
BMJ Open. 2019 Oct 28;9(10):e028740. doi: 10.1136/bmjopen-2018-028740.
3
The preventable proportion of healthcare-associated infections 2005-2016: Systematic review and meta-analysis.
2005-2016 年可预防的医疗保健相关感染比例:系统评价和荟萃分析。
Infect Control Hosp Epidemiol. 2018 Nov;39(11):1277-1295. doi: 10.1017/ice.2018.183. Epub 2018 Sep 20.
4
A Program to Prevent Catheter-Associated Urinary Tract Infection in Acute Care.一项急性护理中预防导管相关尿路感染的计划。
N Engl J Med. 2016 Jun 2;374(22):2111-9. doi: 10.1056/NEJMoa1504906.
5
Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review.减少不必要的导尿管使用及其他预防导尿管相关尿路感染的策略:一项系统综述
BMJ Qual Saf. 2014 Apr;23(4):277-89. doi: 10.1136/bmjqs-2012-001774. Epub 2013 Sep 27.
6
Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies.实施国家计划以减少导管相关尿路感染:州立医院协会、学术医疗中心、专业协会和政府机构的质量改进合作。
Infect Control Hosp Epidemiol. 2013 Oct;34(10):1048-54. doi: 10.1086/673149. Epub 2013 Aug 29.
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Translating health care-associated urinary tract infection prevention research into practice via the bladder bundle.通过膀胱护理包将医疗保健相关尿路感染预防研究转化为实践。
Jt Comm J Qual Patient Saf. 2009 Sep;35(9):449-55. doi: 10.1016/s1553-7250(09)35062-x.