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目的探讨采用监测-培训-计划(monitoring-training-planning,MTP)干预模式控制重症监护病房(Intensive Care Unit,ICU)留置导尿管相关尿路感染(catheter-associated urinary tract infection,CAUTI)的作用。方法选择2014年—2015年拥有ICU的科室(重症医学科、神经外科、神经内科)中留置导尿管的患者。根据纳入排除标准,按照《医院感染监测规范》设定目标性监测指标,选取2014年1月—12月493例患者进行目标性监测,作为调研基线;对2015年1月—12月529例患者分析CAUTI的感染现状,采用MTP干预模式进行干预,比较干预前后ICU留置CAUTI的发生情况。结果 MTP干预前后的CAUTI的发生率不同,差异均有统计学意义(P<0.05)。结论 MTP干预模式能有效地防范ICU的CAUTI,降低CAUTI发生率。
Objective To explore the role of catheter-associated urinary tract infection (CAUTI) in intensive care unit (Intensive Care Unit, ICU) by monitoring-training-planning (MTP) . Methods Patients with indwelling catheters in departments with ICU (Critical Care Medicine, Neurosurgery, Neurology) from 2014 to 2015 were selected. According to inclusion criteria of exclusion, target monitoring indicators were set according to “nosocomial infection monitoring norms”, and 493 patients from January 2014 to December 2014 were selected for targeted monitoring as the baseline for investigation. From January to December 2015, 529 patients The status of CAUTI infection was analyzed. The MTP intervention model was used to intervene, and the incidence of ICU indwelling CAUTI was compared before and after intervention. Results The incidence of CAUTI was different before and after MTP intervention, the differences were statistically significant (P <0.05). Conclusion MTP intervention can effectively prevent ICU CAUTI and reduce the incidence of CAUTI.