【摘要】 目的通过开展目标性监测,针对影响因素采取干预措施,探索降低导管相关性血流感染(CRBSI)发生率的有效方法。方法对2007年3-4月中心静脉置管病例进行回顾性调查,并于2007年5月起进行目标性监测和干预,对CRBSI发生率进行前瞻性调查。结果2007年3-4月中心静脉置管CRBSI感染率为7.5‰(33/4411),2007年5-9月感染率为4.3‰(5111817),2007年10月至2008年10月感染率为2.7‰(88/32086)。结论建立专门的管理监控组织,在全面综合性监测的基础上针对重点科室和医院感染重点,开展目标性监测,明确CRBSI的诊断标准、建立监测系统、规范操作,并开展系列教育项目和现场干预,可以明显降低医院的CRBSI的发生率。更多还原

【Abstract】 Objective To search for an efficient method to reduce the incidence of catheter-related blood stream infection(CRBSI) by taking targeted surveillance and intervention measures.Methods Targeted surveillance and intervention measures had been taken from May 2007.Patients with central venous catheterization were investigated, retrospective survey for data in March and April of 2007,and prospective surveillance from May of 2007 were conducted.Results The morbidity of CRBSI was 7.5‰(33/4411) in March and April of 2007,decreased to 4.3‰(51/11817) during May to September of 2007 and 2.7‰(88/32086) in the last year.Conclusion By establishing a special organization to monitor the hospital infecion in high risk departments,conducting targeted surveillance on the special area and procedures,defining the diagnostic standards of CRBSI, standardizing operational procedure,carrying out the education on CRBSI and field intervention,the CRBSI morbidity can be decreased obviously.更多还原