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保持预防重点：跨学科特别工作组在电子病历转换期间对导尿管相关尿路感染发生率的影响。

Maintaining prevention focus: the impact of an interdisciplinary taskforce on CAUTI rates during an EMR transition.

作者信息

Pryor Rachel, Kang Le, Knowlson Shelley, Britton Amy, Lecznar Christoph, Doll Michelle, McIntosh Georgia, Bearman Gonzalo

机构信息

Virginia Commonwealth University Health System, Richmond, VA, USA.

Department of Biostatistics, Virginia Commonwealth University, Richmond, VA, USA.

出版信息

Antimicrob Steward Healthc Epidemiol. 2024 Oct 25;4(1):e187. doi: 10.1017/ash.2024.411. eCollection 2024.

DOI:10.1017/ash.2024.411
PMID:39465211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11504901/
Abstract

We employed an interrupted time series analysis to assess the impact of changing electronic medical records, concurrent with a Catheter-Associated Urinary Tract Infection (CAUTI) Taskforce, on CAUTI rates. We found that rates increased in most ICUs before returning to baseline. These findings suggest that a multi-faceted approach may reduce CAUTI rates.

摘要

我们采用了中断时间序列分析，以评估与导尿管相关尿路感染（CAUTI）特别工作组同时改变电子病历对CAUTI发生率的影响。我们发现，在多数重症监护病房（ICU）中，发生率在恢复到基线水平之前有所上升。这些发现表明，多方面的方法可能会降低CAUTI发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80d1/11504901/189548c664e4/S2732494X2400411X_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80d1/11504901/189548c664e4/S2732494X2400411X_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80d1/11504901/189548c664e4/S2732494X2400411X_fig1.jpg

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本文引用的文献

1
Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update.急性护理医院预防导管相关尿路感染的策略：2022 更新版。
Infect Control Hosp Epidemiol. 2023 Aug;44(8):1209-1231. doi: 10.1017/ice.2023.137. Epub 2023 Aug 25.
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.
3
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.