Clinical effect of cluster strategy to prevent urinary tract infection in very low birth weight infants
10.3760/cma.j.cn115682-20210405-01484
- VernacularTitle:预防极低出生体重儿尿路感染集束化策略的临床应用效果
- Author:
Xiaoting ZHU
1
;
Xiaojing HU
;
Liling LI
;
Tianchan LYU
;
Yun CAO
Author Information
1. 复旦大学附属儿科医院NICU，上海 201102
- Keywords:
Infant, very low birth weight;
Urinary tract infections;
Cluster strategy
- From:
Chinese Journal of Modern Nursing
2021;27(31):4210-4215
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical application effect of cluster strategy in the Neonatal Intensive Care Unit (NICU) to prevent urinary tract infection (UTI) in very low birth weight infants.Methods:This study was a historical control study. The cluster sampling was used to continuously selected very low birth weight infants admitted to the Children's Hospital of Fudan University from January 2019 to December 2020 as the research object. Starting from January 2019, very low birth weight infants who met the criteria were continuously included as the control group for 11 consecutive months, and the traditional routine methods were used for the prevention of UTI. From December 2019 to January 2020, two consecutive months were the training period for the new prevention strategy. Starting from February 2020, very low birth weight infants who met the criteria were included as the intervention group for 11 consecutive months, and the cluster prevention strategy was adopted (hand hygiene, hip skin nursing, oral nursing, bedside nursing supplies management, personnel training, monitoring and detailed evaluation) . The incidence of UTI in the two groups of children were compared, and the bacterial species and bacterial spectrum of UTI in very low birth weight infants were observed.Results:During the study period, 72 cases of UTI occurred in the control group and 793 cases in the hospital, with the incidence rate of 9.1%. In the intervention group, 28 cases of UTI occurred, and there were 633 cases in the hospital, with an incidence rate of 4.4%. Logistic regression analysis showed that the positive rate of urine culture without clustering strategy was 2.719 times that of the intervention group [ OR=2.719, 95% confidence interval: (1.640, 4.506) ]. UTI in very low birth weight infants were mainly caused by Gram-negative bacilli, of which Klebsiella pneumoniae ranked first (30%, 30/100) . Conclusions:The cluster nursing strategy for very low birth weight infants can effectively reduce the incidence of UTI, and it is worthy of clinical application.
