The role of full-time infection control nurses in the prevention and control of nosocomial infection in Intensive Care Unit_West China Medical Journal

Authors：

CAI Lin ,  TIAN Yongming , DU Aiping , XU Yu , ZHU Shichao

Intensive Care Unit, West China Hospital, Sichuan Universiy, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

TIAN Yongming, Email: arrontian@163.com

Keywords：

Intensive Care Unit; Full-time infection control nurse; Nosocomial infection

DOI：

10.7507/1002-0179.201602073

Video：

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Objective To explore the role and significance of full-time infection control nurses in the prevention and control of nosocomial infection in Intensive Care Unit (ICU). Methods Before Februry 2013, there was no full-time infection control nurses in ICU in West China Hospital of Sichuan University (before implementation); since March 2013, with a comprehensive evaluation of bed numbers and infection control nurses workload, the job of full-time infection control nurses were initiated (after implementation). The management of infection control was achieved through clarifying the responsibility of full-time infection control nurses, the implementation of infection monitoring and other related measures. Results Comparing to the condition before implementation, the hand hygiene compliance among nurses, doctors, workers and cleaners in ICU elevated from 49.8% to 74.9%, the infected rate decreased from 15.3% to 9.3%, the positive rate of multiple resistant bacteria decreased from 18.3% to 13.5%, the incidence of ventilator-associated pneumonia decreased from 13.02‰ to 6.63‰, and central venous catheter-related bloodstream infection rate decreased from 6.559‰ to 2.422‰; the differences were all significant (P<0.05). The incidence of urinary tract infection decreased from 1.21‰ to 1.07‰, and the difference was significant (P>0.05). Conclusions Full-time infection control nurses can introduce continuous and effective training to medical staffs, supervise the execution of hospital infection prevention and control measures, and examine all steps involved and relevant feedbacks. Therefore, the full-time infection control nurses play an important role in the prevention and control of nosocomial infection in ICU.

Citation： CAI Lin, TIAN Yongming, DU Aiping, XU Yu, ZHU Shichao. The role of full-time infection control nurses in the prevention and control of nosocomial infection in Intensive Care Unit. West China Medical Journal, 2017, 32(6): 901-905. doi: 10.7507/1002-0179.201602073 Copy

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2.	赵革. ICU 病房医院感染的分析及防治. 中国医药导报, 2009, 6(12): 164.
3.	尹丹萍, 肖鹏云. 实施手卫生持续改进方案提高手卫生依从性. 中华医院感染学杂志, 2014, 24(11): 2834-2836.
4.	王伟伟, 陶海燕. 重症监护室空气消毒净化设备管理维护体会. 中国医学创新, 2008, 5(31): 137.
5.	李阳, 韩光曙. 荧光标记法在环境物表清洁效果评价中的应用. 江苏卫生事业管理, 2014, 25(6): 41-42.
6.	Askarian M, Malekmakan L, Memish ZA, et al. Prevalence of needle stick injuries among dental, nursing and midwifery students in Shiraz, Iran. GMS Krankenhhyg Interdiszip, 2012, 7(1): Doc05.
7.	章华萍, 张玉琴, 郑丹, 等. 综合性 ICU 医院感染目标性监测分析. 中华医院感染学杂志, 2011, 21(1): 49-51.
8.	赵冬秀. 多形式化培训在提高医院工作人员感染预防意识中的效果研究. 现代预防医学, 2012(17): 4639-4640, 4642.
9.	李琳凤, 张毅, 吕海瑛. 品管圈在我国护理质量控制中的应用现状. 护理管理杂志, 2013, 13(11): 800-801.
10.	Dawson SJ. The role of the infection control Link nurse. J Hosp Infect, 2003, 54(4): 251-257; quiz 320.
11.	Seto WH, Yuen SW, Cheung CW, et al. Hand hygiene promotion and the participation of infection control Link nurses: an effective innovation to overcome campaign fatigue. Am J Infect Control, 2013, 41(12): 1281-1283.
12.	Sopirala MM, Yahle-Dunbar L, Smyer J, et al. Infection control link nurse program: an interdisciplinary approach in targeting health care-acquired infection. Am J Infect Control, 2014, 42(4): 353-359.
13.	华春援. 感染控制监控护士在预防 ICU 中心静脉导管相关性血流感染中的作用. 中国医药指南, 2014, 15(15): 384-385.
14.	游荔君, 黄荔红, 王佳, 等. 感染控制护士在医院感染管理督察中的作用. 中华医院感染学杂志, 2012, 22(24): 5595-5597.
15.	陈玉平, 罗桂芝, 高丽娟, 等. 感染控制专科护士在预防 ICU 中心静脉导管相关性血流感染中的作用. 中华护理杂志, 2009, 44(10): 895-897.

1. 盖显英, 王成玉, 黄英华, 等. 全面加强医院感染控制提高医院感染管理水平. 中华医院感染学杂志, 2004, 14(11): 1265-1267.
2. 赵革. ICU 病房医院感染的分析及防治. 中国医药导报, 2009, 6(12): 164.
3. 尹丹萍, 肖鹏云. 实施手卫生持续改进方案提高手卫生依从性. 中华医院感染学杂志, 2014, 24(11): 2834-2836.
4. 王伟伟, 陶海燕. 重症监护室空气消毒净化设备管理维护体会. 中国医学创新, 2008, 5(31): 137.
5. 李阳, 韩光曙. 荧光标记法在环境物表清洁效果评价中的应用. 江苏卫生事业管理, 2014, 25(6): 41-42.
6. Askarian M, Malekmakan L, Memish ZA, et al. Prevalence of needle stick injuries among dental, nursing and midwifery students in Shiraz, Iran. GMS Krankenhhyg Interdiszip, 2012, 7(1): Doc05.
7. 章华萍, 张玉琴, 郑丹, 等. 综合性 ICU 医院感染目标性监测分析. 中华医院感染学杂志, 2011, 21(1): 49-51.
8. 赵冬秀. 多形式化培训在提高医院工作人员感染预防意识中的效果研究. 现代预防医学, 2012(17): 4639-4640, 4642.
9. 李琳凤, 张毅, 吕海瑛. 品管圈在我国护理质量控制中的应用现状. 护理管理杂志, 2013, 13(11): 800-801.
10. Dawson SJ. The role of the infection control Link nurse. J Hosp Infect, 2003, 54(4): 251-257; quiz 320.
11. Seto WH, Yuen SW, Cheung CW, et al. Hand hygiene promotion and the participation of infection control Link nurses: an effective innovation to overcome campaign fatigue. Am J Infect Control, 2013, 41(12): 1281-1283.
12. Sopirala MM, Yahle-Dunbar L, Smyer J, et al. Infection control link nurse program: an interdisciplinary approach in targeting health care-acquired infection. Am J Infect Control, 2014, 42(4): 353-359.
13. 华春援. 感染控制监控护士在预防 ICU 中心静脉导管相关性血流感染中的作用. 中国医药指南, 2014, 15(15): 384-385.
14. 游荔君, 黄荔红, 王佳, 等. 感染控制护士在医院感染管理督察中的作用. 中华医院感染学杂志, 2012, 22(24): 5595-5597.
15. 陈玉平, 罗桂芝, 高丽娟, 等. 感染控制专科护士在预防 ICU 中心静脉导管相关性血流感染中的作用. 中华护理杂志, 2009, 44(10): 895-897.

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West China Medical Journal

The role of full-time infection control nurses in the prevention and control of nosocomial infection in Intensive Care Unit

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