Survey on the current situation of prevention and control of central venous catheter-related bloodstream infections in ICU of three-level hospital and control strategy

Abstract

Objective To understand the current situation of the prevention and control of central venous catheter-related bloodstream infections （ CRBSI ） in ICU of three-level hospital , and explore the countermeasures .Methods The self-designed questionnaires were used in the study .The prevention and control and the quality management of ICUCRBSI at present in eight hospital were investigated ; and the cognition, the agree degree and the behavior of the related knowledge of the prevention and control of CRBSI in 252 nurses were also investigated .Results Six hospitals in eight hospitals had the standard operating procedure for the prevention and control of CRBSI , and two hospitals had the special check list for the maintenance of central venous catheter （ CVC） .The special prevention and control of CRBSI supported by the guideline of CDC in the USA was poorly carried out in the different hospital .The scores of the cognition , the agree degree and the behavior of the related knowledge of the prevention and control of CRBSI in 252 nurses were respectively （55.88 ±7.46）, （20.21 ±1.48） and （72.59 ±6.83）.Conclusions The three-level hospital in one city is lack of the standard operating procedure for the prevention and control of CRBSI , the check list for CVC catheter and maintenance .The medical staff should strengthen the training of the prevention and control of CRBSI , and increase the behavior compliance so as to decrease the incidence of CRBSI and improve the successful rate of rescue in the critically ill patients . Key words: Intensive care unit; Central venous catheter-related bloodstream infections; Quality management; Questionnaire survey