Objective To discuss effect of different kinds of dressings on complications after periph-erally inserted central catheter(PICC). Methods Patients with skin hypersensitiveness after PICC adopt-ed sterile bandage and Anshutuo IV3000 transparent dressing to carry out local dressing change respective-ly. Incidence of catheter infection,slippage and complications were compared. Results The rate of catheter infection was 19.4%( 0 cases) and catheter slippage was 6.5%(7 cases) by using sterile bandage.While the rate of catheter infection was 3.2%(1 case) and catheter slippage was 3.2%(1 case) by using Aashutuo IV3000 transparent dressing. Conclusions Using Anshutuo IV3000 transparent dressing on local dressing change solved the shortcomings of common dressings and sterile bandage,reduced the inci-dence of complications after PICC and prolonged the using time of catheter.

Objective To investigate the application of hazard analysis and critical control point (HACCP) in the prevention and control of multi drug-resistant bacteria infection in the Department of Neurosurgery.Methods Following the principle and method of HACCP,we conducted a hazard analysis on the medical environment or medical care in the Department of Neurosurgery;the critical control points and critical limits were determined,and therefore,corresponding measures of monitoring and rectifying,and procedures of verification and record system were established.Results After the implementation of HACCP management system,the discovery rate of multi drug-resistant bacteria infection in the Department of Neurosurgery decreased from 3.12％ (January 2012 to June 2013) to 2.06％ (July 2013 to December 2014) (x2=3.921,P=0.048),the average hospitalization days shortened from (62.02±68.59) d to (48.49±38.09) d (t=1.105,P=0.272),and the average cost of hospitalization reducedfrom (104571.41±71 721.62) Yuanto (77257.20±45 810.14) Yuan (t=2.182,P=0.032).Conclusion HACCP is worth promoting in the prevention and control of multi drug-resistant bacteria infection in the Department of Neurosurgery.