Effect of monitoring-training-planning intervention on the prevention and control of catheter-associated urinary tract infection in Intensive Care Unit_West China Medical Journal

Authors：

 CHEN Liping , LEI Xibing , SUN Rui , TANG Yan , TAN Muyang

Nosocomial Infection Management Department, the First People’s Hospital of Yibin City, Yibin, Sichuan 644000, P. R. China;

Corresponding author：

CHEN Liping, Email: 1837639492@qq.com

Keywords：

Intensive Care Unit; Catheter-associated urinary tract infection; Monitoring-training-planning intervention model

DOI：

10.7507/1002-0179.201701058

Video：

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Objective To discuss the effect of monitoring-training-planning (MTP) intervention model on the prevention and control of catheter–associated urinary tract infection (CAUTI) in Intensive Care Unit (ICU). Methods Patients with indwelling catheter from departments with ICU (ICU, ICU of the Department of Neurosurgery, ICU of the Department of Neurologic Medicine) between 2014 and 2015 were included in this study. Based on the inclusion criteria, target monitoring indicators were set in accordance with Hospital Infection Monitoring Norms. A total of 493 patients with indwelling catheters from January to December 2014 were subjected to target surveillance, and were used as baseline for the study. A total of 529 patients with indwelling catheters from January to December 2015 were treated with MTP intervention. The occurrence of indwelling catheter–associated urinary tract infections in the intensive care unit was compared before and after intervention. Results The incidence of indwelling catheter-associated urinary tract infections before and after MTP intervention were different, and the difference was statistically significant (P<0.05). Conclusion MTP intervention model can effectively prevent and reduce indwelling catheter-associated urinary tract infections in ICU.

Citation： CHEN Liping, LEI Xibing, SUN Rui, TANG Yan, TAN Muyang. Effect of monitoring-training-planning intervention on the prevention and control of catheter-associated urinary tract infection in Intensive Care Unit. West China Medical Journal, 2017, 32(3): 352-356. doi: 10.7507/1002-0179.201701058 Copy

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11.	文芳, 杜冯. MTP 干预法在外科手术部位医院感染控制中的应用体会. 中国当代医药, 2014, 21(12): 46-48.
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15.	杨青兰, 曾登芬, 刘蕾, 等. 重症患者导管相关性尿路感染的影响因素及差异性分析. 第三军医大学学报, 2016, 38(9): 1003-1009.
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17.	嵇晓红, 贺金梅, 黄婷, 等. PDCA 循环在导尿管相关性泌尿道感染控制中的应用. 中国感染控制杂志, 2013, 12(3): 190-192.
18.	刘龙英, 王小鸣, 黄素梅. FOCUS-PDCA 法在控制 ICU 留置导尿管相关性泌尿道感染中的应用. 国际护理学杂志, 2016, 0(4): 489-491.
19.	徐绍莲, 甄文, 杨俊, 等. 综合 ICU 导尿管相关性尿路感染目标性监测数据分析与探讨. 护士进修杂志, 2014, 29(24): 2264.
20.	向书蓉, 刘萍. 留置导尿管相关性尿路感染目标监测结果与分析. 华西医学, 2013, 28(8): 1182-1184.
21.	张惠琳. 护理干预对留置导尿患者并发尿路感染的影响. 中华医院感染学杂志, 2012, 22(6): 1187-1188.
22.	袁玉华, 叶志弘, 黄丽敏. 导尿管相关性尿路感染的目标性监测与干预研究. 中华护理杂志, 2014, 49(8): 997-1000.

1. 林建潮, 王灵红, 周新萍. 重症监护室医院感染危险因素的 Meta 分析. 中国医院统计, 2015(3): 170-172.
2. 张贞. 重症监护室医院感染的预防和控制. 中国现代药物应用, 2015, 9(20): 288-289.
3. 程莉莉, 张秀月, 杨洪艳. 留置导尿患者尿路感染相关性因素分析. 中华医院感染学杂志, 2015, 25(21): 4929-4930.
4. 中华人民共和国卫生部. 导尿管相关尿路感染预防与控制技术指南(试行). (2010-11-29)[2010-12-29]. .
5. 张彦东, 钟劲松, 蔡越秀, 等. 普通外科Ⅰ类切口手术围术期预防性使用抗菌药物 MTP 干预. 中国感染控制, 2012, 11(3): 202-203.
6. 王雅妹, 王莉, 叶海燕. 重症监护室导尿管相关性尿路感染的危险因素及预防措施. 中国实用医药, 2013, 8(24): 187-188.
7. 张丛华, 刘芳娥. 导尿管相关尿路感染的目标性监测分析与干预. 当代护士, 2013, 5: 166-168.
8. Bardossy C, Jayaprakash R, Starr P,et al. Impact and limitations of 2015 national healthcare safety network case definition on catheter-associated urinary tract infection (CAUTI) rates: implications for assessing effect of CAUTI prevention measures. Open Forum Infect Dis, 2016, 3(1): 406.
9. Armbruster, Smith S, Johnson A,et al. Urease activity is enhanced during coculture of common catheter-associated urinary tract infection (CAUTI) pathogens and contributes to severity of disease in a murine infection model. Open Forum Infect Dis, 2016, 3(1): 2213.
10. 张翠云, 闫俊辉, 刘新媚, 等. 重症监护患者留置尿管相关性尿路感染目标管理的效果分析. 中华现代护理杂志, 2014, 20(17): 2079-2081.
11. 文芳, 杜冯. MTP 干预法在外科手术部位医院感染控制中的应用体会. 中国当代医药, 2014, 21(12): 46-48.
12. 中华人民共和国卫生部. WS/T 312—2009 医院感染监测规范（试行）, 2009.
13. 殷翠香, 李泽文, 史瑀. ICU 导尿管相关性泌尿道感染病原体分布及耐药性. 中国感染控制杂志, 2014, 13(4): 252-253.
14. 陈蓉, 赵小艳. 重症监护病房留置导尿管相关尿路感染原因分析及护理对策. 华西医学, 30(3): 519-521.
15. 杨青兰, 曾登芬, 刘蕾, 等. 重症患者导管相关性尿路感染的影响因素及差异性分析. 第三军医大学学报, 2016, 38(9): 1003-1009.
16. 南玲, 刘丁, 王豪, 等. 应用 PDCA 循环管理模式控制导尿管相关尿路感染的研究. 检验医学与临床, 2015, 12(3): 413-415.
17. 嵇晓红, 贺金梅, 黄婷, 等. PDCA 循环在导尿管相关性泌尿道感染控制中的应用. 中国感染控制杂志, 2013, 12(3): 190-192.
18. 刘龙英, 王小鸣, 黄素梅. FOCUS-PDCA 法在控制 ICU 留置导尿管相关性泌尿道感染中的应用. 国际护理学杂志, 2016, 0(4): 489-491.
19. 徐绍莲, 甄文, 杨俊, 等. 综合 ICU 导尿管相关性尿路感染目标性监测数据分析与探讨. 护士进修杂志, 2014, 29(24): 2264.
20. 向书蓉, 刘萍. 留置导尿管相关性尿路感染目标监测结果与分析. 华西医学, 2013, 28(8): 1182-1184.
21. 张惠琳. 护理干预对留置导尿患者并发尿路感染的影响. 中华医院感染学杂志, 2012, 22(6): 1187-1188.
22. 袁玉华, 叶志弘, 黄丽敏. 导尿管相关性尿路感染的目标性监测与干预研究. 中华护理杂志, 2014, 49(8): 997-1000.

West China Medical Journal

Effect of monitoring-training-planning intervention on the prevention and control of catheter-associated urinary tract infection in Intensive Care Unit

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