Effect of targeted monitoring and comprehensive intervention on reducing catheter-associated urinary tract infection in patients in non-intensive care unit
10.3969/j.issn.1671-9638.2017.08.007
- VernacularTitle:目标性监测与综合干预对降低非ICU患者导尿管相关尿路感染的效果
- Author:
Li KONG
;
Yusen LI
;
Zhankui ZHAO
;
Huifang HU
;
Jinfeng GUO
;
Hong LIU
;
Juan WANG
;
Jixia WANG
;
Miao LIU
;
Ning LI
;
Xia YUE
;
Dingding ZHANG
;
Yonghui MA
- Keywords:
targeted monitoring;
comprehensive intervention;
Non-intensive care unit;
catheter-associated urinary tract infection
- From:
Chinese Journal of Infection Control
2017;16(8):721-725
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of targeted monitoring and comprehensive intervention measures on reducing the occurrence of catheter-associated urinary tract infection(CAUTI)in patients in non-intensive care unit(Non-ICU).Methods In quarter 4 of 2015,patients with indwelling urinary catheter in clinical departments were conducted a baseline survey(before intervention),risk factors for CAUTI in patients were analyzed,targeted monitoring programmes and comprehensive intervention measures were initiated in 2016(after intervention),incidence of CAUTI before and after intervention was compared.Results After taking intervention measures,hand hygiene compliance rate increased from 78.51%in quarter 4 of 2015 to 92.99%in quarter 3 of 2016 and 90.73%in quarter 4 of 2016(x2=7.342,3.998,respectively,both P<0.05),the correct disposal rate of patients' urinary catheterization system increased from 72.83%in quarter 4 of 2015 to 95.44%in quarter 4 of 2016(x2=30.267,P<0.05).A total of 12 067 patients with indwelling urinary catheter were monitored,incidence of CAUTI dropped from 1.03%(24/23 313)in quarter 4 of 2015(before intervention)to 0.53%(14/26 595)in quarter 4 of 2016(after intervention),difference was statistically significant(x2=4.126,P=0.042).Conclusion Improving the quality of urinary catheterization system in patients with indwelling catheter through targeted monitoring can effectively reduce the incidence of CAUTI in patients in Non-ICU.
