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[1]王效雷,娄 瑞,曹地芹,等.目标性监测在留置导尿管维护质量改进中的作用[J].医学研究与战创伤救治(原医学研究生学报),2015,17(03):283-285.[doi:10.3969/j.issn.1672-271X.2015.03.019]
　WANG Xiao-lei,LOU Rui,CAO Di-qin,et al.Effect of targeted surveillance on improving the maintenance procedures quality of indwelling urinary catheter[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2015,17(03):283-285.[doi:10.3969/j.issn.1672-271X.2015.03.019]
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目标性监测在留置导尿管维护质量改进中的作用()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第17卷
期数:
2015年03期
页码:
283-285
栏目:
出版日期:
2015-05-20

文章信息/Info

Title:
Effect of targeted surveillance on improving the maintenance procedures quality of indwelling urinary catheter
作者:
王效雷; 娄 瑞; 曹地芹; 罗 婕; 丁兆霞
210002 江苏南京，解放军81医院感染控制科
Author(s):
WANG Xiao-lei;  LOU Rui;  CAO Di-qin;  LUO Jie;  DING Zhao-xia.
Infection Control Department， 81 Hospital of PLA， Nanjing， Jiangsu 210002， China
关键词:
目标性监测; 留置尿管维护环节; 质量合格率; 导尿管相关性尿路感染发病率; 质量改进
Keywords:
targeted surveillance;  the maintenance procedures of indwelling urinary catheter;  the quality conformity rate;  the incidence rate of CAUTI;  quality improvement
分类号:
R197.323
DOI:
10.3969/j.issn.1672-271X.2015.03.019
文献标志码:
A
摘要:
目的 探讨目标性监测对改进留置导尿管维护质量的作用。方法 通过实施留置导尿管维护质量目标性监测，比较开展前后留置导尿管维护环节质量合格率和同期导尿管相关性尿路感染（catheter associated urinary tract infection，CAUTI）率，评价目标性监测对质量改进的效果。结果 实施目标性监测2年来留置导尿管维护环节质量合格率显著提高，同期CAUTI感染率从7.55‰下降至4.61‰，且两者呈负相关（r=-0.998，P<0.05）。结论 目标性监测能明显改进留置导尿管维护质量。
Abstract:
Objective To learn about the effect of the targeted surveillance on improving the maintenance procedures quality of indwelling urinary catheter. Methods The targeted surveillance in the maintenance procedures of indwelling urinary catheter was carried out by means of the prospective study， and to compare with the quality conformity rates of the maintenance procedures and the incidence rate of CAUTI before & after interventions. The quality improvement by the targeted surveillance was evaluated. Results Within 2 years， the 8 maintenance procedures quality conformity rates were increased and the incidence rate of CAUTI declined from 7.55‰ to 4.61‰， both were negatively related and the differences were statistically significant (r=-0.998， P<0.05). Conclusion The maintenance procedures quality of indwelling urinary catheter was improved significantly by the targeted surveillance.

参考文献/References:

[1]李清杰，刘运喜.医院感染防控指南[M].北京：人民军医出版社，2011：56-47，468.
[2]任 南.实用医院感染监测方法与技术[M].长沙：湖南科技出版社，2007：22．
[3]Fakih MG，Dueweke C，Meisner S，et al.Effect of nurse led multidisciplinary rounds on reducing the unnecessary use of urinary catheterization in hospitalized patients[J].Infect Control Hosp Epidemiol，2008，29(9)：815-819.
[4]王效雷，罗 婕，丁兆霞，等.119例导尿管相关性尿路感染病原体分布及耐药性分析[J]．东南国防医药，2015，17（1）：46-48.
[5]卫生部医院感染监控协调小组.《医院感染诊断标准》(试行)[J].中华医学杂志，2001，81(5)：314-320.
[6]中华人民共和国卫生部.医院感染监测规范[J].中华医院感染学杂志，2009，19(11)：插1-插2.
[7]吴 娟，单 君.留置尿管伴随性尿路感染的预防现状[J]．中华护理杂志，2010，45（10）：958-960.
[8]孙瑞珍，曹尉尉．泌尿道医院感染的病原菌分布与耐药性分析[J]．东南国防医药，2009，11(8)：305-307．
[9]Moola S，Konno R．A systematic review of the management of short-term indwelling urethral catheters to prevent urinary tract infections[J]．JBI Libr Syst Rev，2010，8(17)：695-729．
[10]曾娟琴，韩斌德，胡欣春，等．聚维酮碘消毒减少导尿管相关性尿路感染的临床观察[J].中华医院感染学杂志，2012，22（16）：3589-3591.
[11]熊 星，杨江根，方烈奎.泌尿系留置导管相关感染的原因及其预防[J]．临床泌尿外科杂志，2011，26（12）：958-960.
[12]Lee TB，Montgomery OG，Marx J，et al.Recommended practices for surveillance：Association for Professionals in Infection Control and Epidemiology (APIC)，Inc[J].Am J Infect Control，2007，35(7)：427-440.

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更新日期/Last Update: 2015-05-20