在高度依赖的单位减少与导管相关的尿路感染:为期18个月的质量改善干预研究期
Waleed Abdulmotalib Mazi1, Mylene Bondad2, Maryam Althumali3
1Infection Prevention and Control, Taif Health Cluster, Taif, Kingdom of Saudi Arabia.
Infection prevention in practice
|April 10, 2024
概括
在沙特阿拉伯的高依赖性单位,通过实施行为改变模型和基于证据的预防策略,管相关的尿路感染 (CAUTI) 率显著降低. 这种方法成功地在18个月内将CAUTI发病率降低了近50%.
科学领域:
- 医疗保健流行病学 医疗保健流行病学
- 预防传染病 预防传染病
- 患者安全 患者安全
背景情况:
- 导管相关的尿路感染 (CAUTI) 会增加患者的发病率和死亡率.
- 沙特阿拉伯高依赖单位 (HDU) 的CAUTI发病率在2021年是美国基准水平的6倍.
- 有限的数据存在于沙特阿拉伯HDU的CAUTI率.
研究的目的:
- 在2022年底前将CAUTI发病率降低50%.
- 评估结合行为改变和预防模型在减少CAUTI方面的有效性.
主要方法:
- 在第三级HDU进行前性研究 (2022年1月 - 2023年6月).
- 对美国卫生保健流行病学学会/美国传染病学会 (SHEA/IDSA) 准则的差距分析.
- 实施Kotter和Rathgeber的行为变化模型和预防CAUTI的国家战略模型.
- 按照美国国家医疗保健安全网络 (US-NHSN) 的指南进行监测和数据分析.
主要成果:
- 原因发病率从每1000个尿导管日减少了7.07至3.57 (P < 0.0001).
- 尿管的利用率显著增加,从0.79增加到0.94.
- 遵守CAUTI预防套餐始终保持在90%以上.
结论:
- 将行为改变策略与基于证据的CAUTI预防模型相结合,有效地降低了感染率.
- 18个月的持续实施表明,CAUTI显著减少.
- 这种综合方法可能适用于减少其他与医疗相关的感染.
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