摘要
目的探讨中心静脉导管集束化干预策略在降低ICU中心静脉导管（central venous catheter，CVC）相关性血流感染（catheter—related blood stream infection，CRBSI）发生率的效果，为预防导管相关性血流感染提供依据。方法选择吉林大学第二医院ICU725例CVC患者作为研究对象。其中2016年410月中心静脉置管376例，1729个导管日为对照组，采用传统的血液导管管理方法；2016年11月-2017年5月中心静脉置管349例，1622个导管日为集束化组，采用集束化方案进行导管维护。比较两组导管相关性血流感染的发生率，观察集束化方案的应用效果。结果集束化组CRBS1发生6例，千目感染率为3．70‰。对照组CRBSI发生14例，千臼感染率为8．10‰，两组比较CRBSI千日感染率差异有统计学意义（P〈0．05）。结论ICU应用集束化方案可有效降低导管相关性血流感染的发生。
Objective To investigate the effect of central line bundle（CLB） in reducing the incidence rate of catheter-related blood stream infection （CRBS1） in ICU, and provide effective evidence for preventing CRBSI. Methods ICU central venous catheter（CVC）725 patients with central venous catheter were selected as subjects. The control group were 376 CVC cases withl729 catheter days from April 2016 to October 2016, used the traditional blood catheter management methods. The CLB group were 349 CVC cases with 1622 catheter days from November 2016 to May 2017,used the CLB. The incidence rate of CRBS1 in two groups were compared and the effectiveness of CLB was observed. Results There were 6 caseso of CRBSI in the CLB group and the incidence rate of CRBSI was 3.70‰.There were 14 cases of CRBSI in the control group and the incidence rate of CRBSI was 8.10‰.The difference was statistically significant （P 〈 0.05）. Conclusions The application of CLB could effectively reduce the incidence rate of CRBSI.
作者
马新利
史媛媛
张艳平
孔繁荣
闫明
MA Xin li;SHI Yuan yuan;ZHANG Yan ping;KONG Fan rong;YAN Ming(The second hospital of Jilin university,Changchun 130041,China)
出处
《中国急救复苏与灾害医学杂志》
2018年第9期858-860,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
集束化方案
中心静脉导管
导管相关性血流感染
central line bundle
central venous catheter
catheter-related blood stream infection
