两家法国大学医院中心静脉导管插入和管理实践的审核。
An audit of central venous catheter insertion and management practices in two French university hospitals.
机构信息
Service d'Hygiène Epidémiologie et Prévention, Hôpital Edouard Herriot, Hospices Civils de Lyon (HCL), Lyon, France.
PHE3ID team, Centre International de Recherche en Infectiologie, Inserm U1111, CNRS UMR5308, ENS de Lyon, Lyon 1 University, Lyon, France.
出版信息
Eur J Clin Microbiol Infect Dis. 2024 Oct;43(10):1927-1930. doi: 10.1007/s10096-024-04906-8. Epub 2024 Jul 25.
OBJECTIVE
To assess the compliance with French guidelines for the prevention of central venous catheter (CVC)-related infections in two university hospitals.
METHODS
An observational audit was conducted in 7 wards using a digital tool.
RESULTS
The prerequisite of hand hygiene (HH) were respected by 90% of health-care worker; 86% performed HH prior to equipment preparation and 59% repeated it prior to infusion. Wearing gloves when necessary and rinsing were respected in 46.7% and 75.6% of the observations.
CONCLUSION
Findings showed an acceptable level of adherence to recommended practices for CVC management. However, barriers of unrespect evidence-based recommendations need to be investigated in depth.
目的
评估两所大学附属医院在预防中心静脉导管（CVC）相关感染方面对法国指南的遵循情况。
方法
使用数字工具对 7 个病房进行了观察性审核。
结果
医护人员 90%遵守了手部卫生（HH）的前提条件；86%在设备准备前进行 HH，59%在输液前重复 HH。在观察到的情况中，分别有 46.7%和 75.6%的人遵守了必要时戴手套和冲洗的规定。
结论
研究结果表明，在 CVC 管理方面，对推荐实践的遵守程度可接受。然而，需要深入调查不遵守基于证据的建议的障碍。
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