The role of full-time infection control nurses in the prevention and control of nosocomial infection in Intensive Care Unit_West China Medical Journal

Authors：

CAI Lin ,  TIAN Yongming , DU Aiping , XU Yu , ZHU Shichao

Intensive Care Unit, West China Hospital, Sichuan Universiy, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

TIAN Yongming, Email: arrontian@163.com

Keywords：

Intensive Care Unit; Full-time infection control nurse; Nosocomial infection

DOI：

10.7507/1002-0179.201602073

Video：

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Objective To explore the role and significance of full-time infection control nurses in the prevention and control of nosocomial infection in Intensive Care Unit (ICU). Methods Before Februry 2013, there was no full-time infection control nurses in ICU in West China Hospital of Sichuan University (before implementation); since March 2013, with a comprehensive evaluation of bed numbers and infection control nurses workload, the job of full-time infection control nurses were initiated (after implementation). The management of infection control was achieved through clarifying the responsibility of full-time infection control nurses, the implementation of infection monitoring and other related measures. Results Comparing to the condition before implementation, the hand hygiene compliance among nurses, doctors, workers and cleaners in ICU elevated from 49.8% to 74.9%, the infected rate decreased from 15.3% to 9.3%, the positive rate of multiple resistant bacteria decreased from 18.3% to 13.5%, the incidence of ventilator-associated pneumonia decreased from 13.02‰ to 6.63‰, and central venous catheter-related bloodstream infection rate decreased from 6.559‰ to 2.422‰; the differences were all significant (P<0.05). The incidence of urinary tract infection decreased from 1.21‰ to 1.07‰, and the difference was significant (P>0.05). Conclusions Full-time infection control nurses can introduce continuous and effective training to medical staffs, supervise the execution of hospital infection prevention and control measures, and examine all steps involved and relevant feedbacks. Therefore, the full-time infection control nurses play an important role in the prevention and control of nosocomial infection in ICU.

Citation： CAI Lin, TIAN Yongming, DU Aiping, XU Yu, ZHU Shichao. The role of full-time infection control nurses in the prevention and control of nosocomial infection in Intensive Care Unit. West China Medical Journal, 2017, 32(6): 901-905. doi: 10.7507/1002-0179.201602073 Copy

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7.	章華萍, 張玉琴, 鄭丹, 等. 綜合性 ICU 醫院感染目標性監測分析. 中華醫院感染學雜志, 2011, 21(1): 49-51.
8.	趙冬秀. 多形式化培訓在提高醫院工作人員感染預防意識中的效果研究. 現代預防醫學, 2012(17): 4639-4640, 4642.
9.	李琳鳳, 張毅, 呂海瑛. 品管圈在我國護理質量控制中的應用現狀. 護理管理雜志, 2013, 13(11): 800-801.
10.	Dawson SJ. The role of the infection control Link nurse. J Hosp Infect, 2003, 54(4): 251-257; quiz 320.
11.	Seto WH, Yuen SW, Cheung CW, et al. Hand hygiene promotion and the participation of infection control Link nurses: an effective innovation to overcome campaign fatigue. Am J Infect Control, 2013, 41(12): 1281-1283.
12.	Sopirala MM, Yahle-Dunbar L, Smyer J, et al. Infection control link nurse program: an interdisciplinary approach in targeting health care-acquired infection. Am J Infect Control, 2014, 42(4): 353-359.
13.	華春援. 感染控制監控護士在預防 ICU 中心靜脈導管相關性血流感染中的作用. 中國醫藥指南, 2014, 15(15): 384-385.
14.	游荔君, 黃荔紅, 王佳, 等. 感染控制護士在醫院感染管理督察中的作用. 中華醫院感染學雜志, 2012, 22(24): 5595-5597.
15.	陳玉平, 羅桂芝, 高麗娟, 等. 感染控制專科護士在預防 ICU 中心靜脈導管相關性血流感染中的作用. 中華護理雜志, 2009, 44(10): 895-897.

1. 蓋顯英, 王成玉, 黃英華, 等. 全面加強醫院感染控制提高醫院感染管理水平. 中華醫院感染學雜志, 2004, 14(11): 1265-1267.
2. 趙革. ICU 病房醫院感染的分析及防治. 中國醫藥導報, 2009, 6(12): 164.
3. 尹丹萍, 肖鵬云. 實施手衛生持續改進方案提高手衛生依從性. 中華醫院感染學雜志, 2014, 24(11): 2834-2836.
4. 王偉偉, 陶海燕. 重癥監護室空氣消毒凈化設備管理維護體會. 中國醫學創新, 2008, 5(31): 137.
5. 李陽, 韓光曙. 熒光標記法在環境物表清潔效果評價中的應用. 江蘇衛生事業管理, 2014, 25(6): 41-42.
6. Askarian M, Malekmakan L, Memish ZA, et al. Prevalence of needle stick injuries among dental, nursing and midwifery students in Shiraz, Iran. GMS Krankenhhyg Interdiszip, 2012, 7(1): Doc05.
7. 章華萍, 張玉琴, 鄭丹, 等. 綜合性 ICU 醫院感染目標性監測分析. 中華醫院感染學雜志, 2011, 21(1): 49-51.
8. 趙冬秀. 多形式化培訓在提高醫院工作人員感染預防意識中的效果研究. 現代預防醫學, 2012(17): 4639-4640, 4642.
9. 李琳鳳, 張毅, 呂海瑛. 品管圈在我國護理質量控制中的應用現狀. 護理管理雜志, 2013, 13(11): 800-801.
10. Dawson SJ. The role of the infection control Link nurse. J Hosp Infect, 2003, 54(4): 251-257; quiz 320.
11. Seto WH, Yuen SW, Cheung CW, et al. Hand hygiene promotion and the participation of infection control Link nurses: an effective innovation to overcome campaign fatigue. Am J Infect Control, 2013, 41(12): 1281-1283.
12. Sopirala MM, Yahle-Dunbar L, Smyer J, et al. Infection control link nurse program: an interdisciplinary approach in targeting health care-acquired infection. Am J Infect Control, 2014, 42(4): 353-359.
13. 華春援. 感染控制監控護士在預防 ICU 中心靜脈導管相關性血流感染中的作用. 中國醫藥指南, 2014, 15(15): 384-385.
14. 游荔君, 黃荔紅, 王佳, 等. 感染控制護士在醫院感染管理督察中的作用. 中華醫院感染學雜志, 2012, 22(24): 5595-5597.
15. 陳玉平, 羅桂芝, 高麗娟, 等. 感染控制專科護士在預防 ICU 中心靜脈導管相關性血流感染中的作用. 中華護理雜志, 2009, 44(10): 895-897.

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West China Medical Journal

The role of full-time infection control nurses in the prevention and control of nosocomial infection in Intensive Care Unit

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