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預防導尿管相關泌尿道感染組合式照護

Catheter-Associated Urinary Tract Infections and Care Bundle

摘要


導尿管相關泌尿道感染(catheter-associated urinary tract infections)是相當常見的醫療照護相關感染,且多為抗藥性細菌引起,導致醫療照護及病人安全的問題,同時增加醫療支出。導尿管的留置時間是造成導尿管相關泌尿道感染的主要危險因子,也是預防導尿管相關泌尿道感染措施中最能反應改善之因子。經由實證措施,及多面向的介入,以組合照護的模式,來預防導尿管相關泌尿道感染,已經證實是有效的方式。避免不必要的導尿管置入,盡早移除導尿管,跨團隊進行組合式照護,進行教育訓練及回饋,減少導尿管相關泌尿道感染,確保病人安全及醫療品質。

並列摘要


Catheter-associated urinary tract infections (CAUTIs) are common healthcare-associated infections, and are mostly caused by drug-resistant bacteria, resulting in medical care and patient safety issues, while increasing medical expenses. The retention time of the catheter is a major risk factor for CAUTIs and is a key factor in preventing CAUTIs. Through evidence-based prevention measures, and multidisciplinary intervention, the use of care bundle to prevent CAUTIs has been proved to be an efficient way. Avoid unnecessary catheters, remove catheters as soon as possible, and care bundle, to reduce CAUTIs, ensure patient safety and medical quality.

並列關鍵字

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被引用紀錄


蔡亞芸、陳雁梅、謝佩珊、許晴茹、劉月敏(2021)。應用PRECEDE模式降低導尿管相關之泌尿道感染密度高雄護理雜誌38(3),22-35。https://doi.org/10.6692/KJN.202112_38(3).0003
薛錡蔚、曾惠美、陳亭均、高綺吟(2023)。降低內科加護病房病人導尿管相關泌尿道感染密度彰化護理30(2),52-63。https://doi.org/10.6647/CN.202306_30(2).0008
Yu-Li Lin、Hsueh-Erh Liu、Hung-Ju Chen(2024)。Reducing the Unnecessary use of Foley Catheters in the Neurology Ward: Application of Evidence-Based Practice and Knowledge Translation長庚護理35(3),34-44。https://doi.org/10.6386/CGN.202409_35(3).0004
詹効儒、王于嘉、鄭鈺茹、梁信杰、李佳玲(2020)。運用團隊資源管理降低加護病房導尿管使用率護理雜誌67(4),89-97。https://doi.org/10.6224/JN.202008_67(4).11
林欣怡、倪麗芬、蔡麗紅(2020)。照護一位腰椎手術後併發脊髓硬膜外血腫個案之護理經驗長庚科技學刊(33),95-106。https://doi.org/10.6192/CGUST.202012_(33).8

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