SurveillanceofDeviceRelatedInfectioninIntensiveCareUnitICU导管相关感染监测(Aversionfortrainingpurposeonly,thedatainvolvedisnotreflectingtherealsituation)NationalNosocomialInfectionsSurveillance(NNIS)system全国院内感染监测系统Purpose目的Monitortheinfectionrates监控感染率BenchmarkwithNNISSystem与NNIS标竿Determinetrends确定趋势Identifyoutbreak定义暴发Facilitatecomparisons易于比较Linkmonitoredratesandpreventionefforts感染率与预防效果的联系Reducedevicesrelatedinfectioninhospital减少医院导管等装置的感染率Populationatrisk危险人群AllpatientshasbeenadmittedinICUfor>48hours.入ICU48小时的病人Followpatientsfor48hoursafterdischargefromICU.病人转出ICU需继续跟踪48小时Device-associatedinfections导管相关感染Urinarycatheter-associatedUrinarytractinfection(CA-UTI)导尿管相关的尿路感染Centralline-associatedBloodstreaminfection(CA-BSI)中心静脉导管相关的血流感染Ventilator-associatedPneumonia(VAP)呼吸机相关的肺炎Denominatordata分母资料Countat12midnightineveryday每天在午夜12点计算Totalnumberofpatients’admission所有病人Patient-days病人日Urinarycatheter-days导尿管日Centralline-days中心静脉插管日Ventilator-days呼吸机日Surveillancemethods调查方法ongoingrevieweachpatientinICU.持续观察ICU的每个病人byreviewingDoctorsprogressnotes,Nursingnotes,Physiotherapistsnotes,XRreport,charts,MARforms,conversationswithnursesandphysicians查看医生病程、护理记录、理疗单、X线检查、CT/MAR。医生护士的会话byreviewinglaboratorydata.查看实验室数据NameHospsource:___________________PreviousICUadm:___________________________Team:___________________________________IDTransferfrom:________________________________Transferto:_______________________________________HNICUadmdate/time:___________________________Transferoutdate/time:______________________________Hosp.Adm.Sex/AgeDiagnosisonICUadmissionDiagnosisinICUBHx:UnderlyingdiseasePremorbidstatusAllergy:Surgicalintervention(OT,OGD,etc…)AirwayVentilatorCentrallineUrinarycatheterA-lineOtherdeviceDateTypeOnOffSiteTypeOnOffTypeOnOffOnOffNETTOETTTTt/ow/At/ow/MVt/ow/cvct/ow/UC2dt/ow/A2dt/ow/MV2dt/ow/cvc2dt/ow/UCDevicerelatedinfectioninICUType:VAP/CR-BSI/CR-SUTI/CR-ASBInfectiondate:_________________Deviceon&offdate:_______________Devicedays:_____________SystemicS/S:Labevidence:Treatment:LocaliseS/S:__________NameHospsource:___________________PreviousICUadm:___________________________Team:___________________________________IDTransferfrom:________________________________Transferto:_______________________________________HNICUadmdate/time:___________________________Transferoutdate/time:______________________________Hosp.Adm.Sex/AgeDiagnosisonICUadmissionDiagnosisinICUBHx:UnderlyingdiseasePremorbidstatusAllergy:Surgicalintervention(OT,OGD,etc…)AirwayVentilatorCentrallineUrinarycatheterA-lineOtherdeviceDateTypeOnOffSiteTypeOnOffTypeOnOffOnOffNETTOETTTTt/ow/At/ow/MVt/ow/cvct/ow/UC2dt/ow/A2dt/ow/MV2dt/ow/cvc2dt/ow/UCDevicerelatedinfectioninICUType:VAP/CR-BSI/CR-SUTI/CR-ASBInfectiondate:_________________Deviceon&offdate:_______________Devicedays:_____________SystemicS/S:Labevidence:Treatment:LocaliseS/S:__________DailyrecordofDevicesinNeuro.ICUpatientat12MNMonth/year:_________________DateNo.ofPt.Adm.No.ofPatientat12MNNo.ofVentilatorNo.ofCVCNo.ofFoley12345678910111213141516171819202122232425262728293031TotalNameAntibioticspriorICUMicrobiologyresults7dayspr...
