摘要目的 评估留置导尿管理提醒软件对急诊重症监护病房(EICU)导尿管相关性尿路感染的应用效果.方法 采用对照试验研究,于2014年1月-2015年12月在EICU留置导尿管相关性感染监测,通过提醒软件的开发应用,对留置导尿管理遗漏率、导尿管相关性尿路感染(CAUTI)发生率、泌尿道插管使用率、平均留置导尿时间进行评价.结果 通过提醒软件的开发应用,留置导尿管理遗漏率下降,CAUTI感染率从9.16‰降至1.90‰,差异有统计学意义(x2=4.843,P<0.05);泌尿道插管使用率从73.60%降至60.67%(P<0.01);平均留置导尿时间由(10.21±2.28)d下降至(8.20±1.67)d,差异有统计学意义(t=2.47,P<0.05).结论 提醒软件的开发应用对控制留置导尿管相关性尿路感染取得较好的效果,值得临床推广应用.

abstractsObjective To assess the application effect of reminder software for the management of indwelling catheter in catheter associated with urinary tract infection in emergency intensive care unit (EICU). Methods We conducted a comparative study among patients with catheter-associated urinary tract infection from January 2014 to December 2015 in emergency intensive care unit (EICU). By applying with reminder software, we assessed the omission rate of indwelling urethral catheterization management, the incidence rate of catheter associated urinary tract infection (CAUTI), the utilization rate of urinary tract intubation and the average time of indwelling urethral catheterization.Results By the application of reminder software, the omission rate of indwelling urethral catheterization management was decreased. The incidence rate of CAUTI declined from 9.16‰ to 1.90‰ (x2=4.843,P<0.05),while the utilization rate of urinary tract intubation declined from 73.60% to 60.67% (P<0.01), and the average time of catheterization also shortened from (10.21±2.28) days to (8.20±1.67) days (t=2.47,P<0.05).Conclusions Reminder software applied in the control of indwelling catheter related infections has achieved good effectiveness and it can be used widely in clinical work.