重症监护病房医务人员对中心导管相关血流感染监测知识的知晓情况

Abstract

目的：了解重症监护病房（ICU）医务人员对中心导管相关血流感染（CLABSI）知识掌握情况，以及CLABSI 监测模块的操作情况，为监测系统评估提供相应的依据。方法采取匿名、独立完成问卷的方式，对北京市具备 ICU CLABSI 监测功能的28所医院负责 CLABSI 监测的54名医务人员进行调查。结果共收回问卷54份，均有效。被调查医务人员负责 CLABSI 监测的平均工作年限为3年，关于 CLABSI 和导管相关血流感染（CRBSI）的定义知晓率为83．33％（45名），仍有14．81％（8名）的医务人员不清楚两者的内容及区别。61．11％（33名）的医务人员仍在使用纸质类表格记录监测情况，33．33％（18名）采用电子表格＋人工录入。51名（94．45％）医务人员了解 CLABSI 诊断标准；除高热和寒战外，对 CLABSI 患者其他症状／体征的知晓率在85％左右。医务人员对 CLABSI 感染控制措施相关知识（插管技术、规范操作、管路维护、缩短置管时间、有效皮肤消毒）的知晓率为94．45％～100．00％。结论此次调查提示，监测人员 CLABSI 相关知识水平和系统操作能力仍有待提高，CLABSI 监测系统模块有待进一步评估。

Objective To investigate health care workers’(HCWs)understanding on knowledge about central line-associated bloodstream infection (CLABSI)in intensive care units (ICUs)and operation of CLABSI monitoring system module,so as to provide corresponding basis for evaluation of the monitoring system.Methods Anonymous self-completion questionnaires were used to investigate 54 HCWs who were responsible for the monitoring of CLAB-SI in the ICUs of 28 hospitals in Beijing.Results A total of 54 questionnaires were retrieved,and all were available. The average working experience of HCWs responsible for CLABSI monitoring was 3 years,83.33%(n=45)of HC-Ws knew the definitions of CLABSI and catheter-related bloodstream infection(CRBSI),there were still 14.81 % (n=8)of HCWs didn’t know the contents and the difference between CLABSI and CRBSI.61 .11 %(n=33)of HCWs still used paper form for recording monitoring data,33.33% (n = 18 )adopted spreadsheet + manual input.51 (94.45%)HCWs understood CLABSI diagnostic criteria,85% of HCWs knew other symptoms/signs of CLABSI besides high fever and chill.Awareness of CLABSI infection control measure-related knowledge (intubation tech-nique,standard manipulation,pipeline maintenance,reducing catheterization time,and effective skin disinfection) was 94.45%-100.00%.Conclusion The CLABSI-related knowledge and system operation ability of the monito-ring personnel should be improved,CLABSI monitoring system module needs to be further evaluated.