Multicenter study on current nursing practice in prevention and control of ICU catheter-related bloodstream infection in domestic Class Ⅲ Grade A hospitals
10.3760/cma.j.cn115682-20191030-03926
- VernacularTitle:国内三甲医院ICU导管相关性血流感染护理防控实践现状的多中心调查
- Author:
Zhong SUN
1
;
Xia WANG
;
Li HAO
;
Guoli XU
;
Juyuan LIU
;
Meng CAI
Author Information
1. 首都医科大学附属北京中医医院肿瘤外科 100010
- Keywords:
Intensive care;
ICU;
Catheter-associated bloodstream infection;
Nursing practice;
Multicenter investigation
- From:
Chinese Journal of Modern Nursing
2020;26(13):1688-1693
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status of nursing practice in the prevention and control of ICU catheter-associated bloodstream infection (CLABSI) in domestic ClassⅢ Grade A hospitals, evaluate the weaknesses in nursing practice, and discuss the common problems.Methods:On March 1, 2017, the ICUs of totally 55 hospitals from 16 Provinces /Municipalities /Autonomous Regions nationwide where the members of the Hospital Infection Committee under the Chinese Nursing Association worked were selected by convenient sampling and investigated with a self-designedquestionnaire on implementation of best practices for catheter-related bloodstream infections. Before the survey, the investigators participating in the survey were trained. Totally 134 questionnaires were recovered, accounting for a recovery rate of 100%. Totally 117 of them were valid, with a valid recovery rate of 87%.Results:In the 117 ICU, totally 71 (60.68%) ICUs filled in the incidence of CLABSI, and 18 (15.38%) data came from their departments. In the central venous catheterization (CVC) process, 65 (55.56%) ICUs were supervised; 109 (93.16%) ICUs used special puncture bags; 74 (63.25%) ICUs used sterile surgical gowns; 26 (22.22 %) ICUs used sterile towels to cover the whole body; and 13 (11.11%) ICUs used Statlock to fix the catheter. In the CVC maintenance process, the frequency of transparent dressing replacement was within 7 days in 106 (90.60%) ICUs; the frequency of gauze replacement was 1 to 2 days in 44 (37.61%) ICUs; 22 (18.80%) ICUs used disposable prefilled liquid flushing tube; 103 (88.03%) ICUs replaced infusion sets every 24 h during continuous transfusion; and 13 (11.11%) ICUs adopted chlorhexidine for sponge bath. 97 (82.91%) ICUs did not have procedures for using infusion connectors, and the nurses of 28 (23.93%) ICUs did not know the type of connectors used.Conclusions:At present, the clinical nursing measures to prevent and control CLABSI are quite different. It is recommended to standardize guidelines, conduct high-quality research, and strengthen personnel training.
