Analysis the effect of the comprehensive appraisal of clinical department to improve hand hygiene compliance

Abstract

to confirm whether the physician is necessary to use the central conduit and piping indwelling reason), from time to time during the execution of a sense of tube division to conduct relevant external audit units and audit the results back to the unit. Results: Early intervention infection cases of bloodstream infection density 2.76 &, central catheter-related bloodstream infection rate was 1.92 &, the use of catheter infection began to establish the number of days on average 5.6 days, a total of 32 strains were isolated, including Gram-positive bacteria accounted for 31.3 %; Gram-negative bacteria accounted for 56.3%; mold accounted for 12.5%; intervention execution of bloodstream infection density 2.15 &, central catheter-related bloodstream infection rate was 1.79 &, the use of catheter infection began to establish the number of days on average 8.2 days, a total of there are 18 strains were isolated, and its species distribution Gram-positive bacteria, Gram-negative bacteria, mold half and 33.3%, 2% Chlorhexidine literature on Gram-positive bacteria and negative bacteria Jieyou inhibitory effect, the proportion of the difference between before and after the intervention, suggesting that patients in the intervention may be less borne bacteria infection Gram-negative bacteria as much. Conclusions: In this study, the combined execution and implementation of infection control measures really care can reduce bloodstream infection density (average decrease of 21.9%), central catheter-related bloodstream infection (average decrease of 6.5 percent), the implementation of infection control measures combined care, first needs the support of the hospital executives, cross-departmental communication to reach a consensus in order to effectively implement, explore medical evidence through empirical experience of implementation of the hospital and patient safety point of view, are supported by an integrated care can reduce hospital infection rates, it is worth actively promoting.