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不穿尿布作为减少危重症儿童导尿管相关尿路感染多方面干预措施的一部分。

Going commando as part of a multifaceted intervention to reduce CAUTIs in critically ill children.

作者信息

Linam Matthew, Wannemacher Lisette, Powell Kathryn, Calamaro Christina, Walson Karen

机构信息

Division of Pediatric Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.

Children's Healthcare of Atlanta, Atlanta, GA, USA.

出版信息

Antimicrob Steward Healthc Epidemiol. 2025 Jan 6;5(1):e2. doi: 10.1017/ash.2024.456. eCollection 2025.

DOI:10.1017/ash.2024.456
PMID:39781290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11704929/
Abstract

This project was initiated in a large pediatric intensive care unit to reduce catheter-associated urinary tract infections (CAUTIs). Implementing removal of diapers and a urine collection device that prevented urine backflow in March 2021 decreased the rate from 3.3 to 0.9 CAUTIs/1000 catheter-days. These interventions could augment CAUTI prevention strategies.

摘要

该项目在一家大型儿科重症监护病房启动，旨在减少导尿管相关尿路感染（CAUTIs）。2021年3月实施去除尿布和采用防止尿液回流的尿液收集装置后，CAUTIs发生率从每1000导尿管日3.3例降至0.9例。这些干预措施可加强CAUTI预防策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109f/11704929/eb6066f0b2c0/S2732494X2400456X_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109f/11704929/a2143b7f2beb/S2732494X2400456X_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109f/11704929/eb6066f0b2c0/S2732494X2400456X_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109f/11704929/a2143b7f2beb/S2732494X2400456X_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/109f/11704929/eb6066f0b2c0/S2732494X2400456X_fig2.jpg

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本文引用的文献

1
Initiation of interdisciplinary prevention rounds: decreasing CLABSIs in critically ill children.启动跨学科预防查房：降低危重症患儿中心静脉导管相关血流感染发生率
Antimicrob Steward Healthc Epidemiol. 2024 May 8;4(1):e80. doi: 10.1017/ash.2024.55. eCollection 2024.
2
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.
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Continued increases in the incidence of healthcare-associated infection (HAI) during the second year of the coronavirus disease 2019 (COVID-19) pandemic.
在 2019 冠状病毒病（COVID-19）大流行的第二年，与医疗保健相关的感染（HAI）的发病率持续上升。
Infect Control Hosp Epidemiol. 2023 Jun;44(6):997-1001. doi: 10.1017/ice.2022.116. Epub 2022 May 20.
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Health Care-Associated Infections Among Critically Ill Children in the US, 2013-2018.美国重症儿童中的医疗保健相关感染，2013-2018 年。
JAMA Pediatr. 2020 Dec 1;174(12):1176-1183. doi: 10.1001/jamapediatrics.2020.3223.
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Catheter-Associated Urinary Tract Infection Reduction in a Pediatric Safety Engagement Network.儿科安全参与网络中降低导管相关性尿路感染。
Pediatrics. 2020 Oct;146(4). doi: 10.1542/peds.2019-2057. Epub 2020 Sep 3.
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Costs of Venous Thromboembolism, Catheter-Associated Urinary Tract Infection, and Pressure Ulcer.静脉血栓栓塞、导管相关尿路感染和压疮的成本。
Pediatrics. 2015 Sep;136(3):432-9. doi: 10.1542/peds.2015-1386. Epub 2015 Aug 10.
7
Guideline for prevention of catheter-associated urinary tract infections 2009.《2009年导尿管相关尿路感染预防指南》
Infect Control Hosp Epidemiol. 2010 Apr;31(4):319-26. doi: 10.1086/651091.
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Use and interpretation of statistical quality control charts.统计质量控制图的使用与解读。
Int J Qual Health Care. 1998 Feb;10(1):69-73. doi: 10.1093/intqhc/10.1.69.