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首页> 外文期刊>American journal of medical quality: the official journal of the American College of Medical Quality >The Effect of Interdisciplinary Team Rounds on Urinary Catheter and Central Venous Catheter Days and Rates of Infection
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The Effect of Interdisciplinary Team Rounds on Urinary Catheter and Central Venous Catheter Days and Rates of Infection

机译:跨学科小组比赛对尿导管和中央静脉导管天数和感染率的影响

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摘要

Interdisciplinary team (IDT) rounds were initiated in the intensive care unit (ICU) in June 2010. All catheters were identified by location, duration, and indication. Catheters with no indication were removed. Data were collected retrospectively on catheter days and associated infections in a 20-month period before and after intervention with an aggregate of 19 207 ICU days before and 23 576 ICU days after institution of rounds. Results showed a statistically significant decrease in the number of indwelling urinary catheter (IUC) days (5304 vs 4541 days, P =.05) and catheter-associated urinary tract infection rates (4.71 vs 1.98 infections/1000 ICU days, P <.05). Central line days statistically increased after IDT rounds (3986 vs 4305 days, P <.05) but the catheter-related bloodstream infection rate trended down (3.5 vs 1.6 infections/1000 ICU days, P =.62). This analysis suggests that IDT rounds may have an impact on reducing the number of IUC days and associated infections.
机译:2010年6月,在重症监护病房(ICU)发起了跨学科小组(IDT)巡回检查。所有导管均通过位置,持续时间和适应症进行识别。删除无指征的导管。回顾性收集干预前后20个月内导管天数和相关感染的数据,进行轮次前总共19 207 ICU天,之后23 576 ICU天。结果显示,留置导尿管(IUC)天数(5304对4541天,P = .05)和与导管相关的尿路感染率(4.71对1.98感染/ 1000 ICU天数,P <.05)具有统计学意义的减少)。 IDT轮次后,中心线天数统计增加(3986比4305天,P <.05),但与导管相关的血流感染率呈下降趋势(3.5比1.6感染/ 1000 ICU天,P = .62)。该分析表明,IDT轮次可能对减少IUC天数和相关感染有影响。

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