在临床实践中提高安全性:采用BD PosiFlush SafeScrub进行横截面,主体内,模拟使用合规性研究
Kyle De Boer1, John Simpson1, Purnima Sharma1
1Medical Affairs, BD Biosciences (United States), Franklin Lakes, NJ, United States.
与标准实践相比,BD PosiFlush SafeScrub设备显著改善了医疗保健专业人员对导管枢纽消毒的遵守情况,使遵守率翻了一番. 这种增强的消毒可能有助于减少与导管相关的血液感染 (CRBSI).
科学领域:
- 预防和控制感染的预防和控制.
- 医疗器械技术 医疗器械技术
- 静脉注射疗法 静脉注射疗法
背景情况:
- 无针接入器件对于静脉注射治疗至关重要,但存在污染风险,可能导致导管相关的血液感染 (CRBSI).
- 无针连接器的适当消毒对于减轻微生物污染和感染风险至关重要.
- BD PosiFlush SafeScrub旨在通过集成的"擦除中心"提醒来促进无菌非触摸技术 (ANTT).
研究的目的:
- 在模拟的临床环境中使用BD PosiFlush SafeScrub评估是否符合导管枢纽消毒.
- 为了比较BD PosiFlush SafeScrub和标准消毒/冲洗实践 (酒精抹布和预填盐水注射器) 之间的合规率.
主要方法:
- 一项模拟使用,在受试者研究中,医疗保健专业人员使用BD PosiFlush SafeScrub和标准实践.
- 与特定的消毒协议相比,测量了合规性:BD PosiFlush SafeScrub需要≥10秒的8轮冲洗;标准做法遵循机构政策 (5-30秒或中风计数).
- 在多个冲洗事件中,对两种方法的消毒遵守情况进行了监测和记录.
主要成果:
- 与标准实践 (17%) 相比,BD PosiFlush SafeScrub (34%) 与导管枢纽消毒的总体遵守率显著高,相当于100%的相对改善 (P<.001).
- 在访问前的程序中,BD PosiFlush SafeScrub遵守率为46%,而标准实践为21% (P<.001).
- 药后程序的遵守显示,BD PosiFlush SafeScrub (22%) 与标准实践 (13%) 相比有所改善,尽管在统计学上不显著 (P=.12).
结论:
- 与标准的酒精和预填盐水注射器方法相比,BD PosiFlush SafeScrub 显示了大约两倍的冲洗中心合规性.
- BD PosiFlush SafeScrub的集成消毒单元支持对无菌非接触技术 (ANTT) 的遵守.
- 通过BD PosiFlush SafeScrub促进的更好的合规性可能有助于减少微生物污染和CRBSI率.
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