Abstract：Objective To explore the application value of nosocomial infection control chart in ICU,and to provide guidance for nosocomial infection control. Methods From January 2015 to December 2019, the monthly "three catheters" infection monitoring records of ICU ward in our hospital were collected, SPSS was used to make statistical analysis of the collected data,and the hospital sense control chart was used to monitor the "three catheters" infection in ICU, in order to find problems for improvement.Results From January 2015 to December 2019, 30-96 cases of new patients were admitted to ICU of our hospital every month, with 0-5 new cases of CLABSI every month,with the total time of central venous catheterization and with 202-449 days every month,and with the incidence of CLABSI 0-14.71 cases per thousand catheter day.And 0-6 new cases per month occurred,with the total time of urethral catheterization 213-449 days every month, with the incidence of CAUTI 0-19.01 cases per thousand catheter day.While 0-5 new cases per month of VAP oecurred, with the total time of using ventilator every month,and the incidence of VAP was 0-19.01 cases per thousand catheter day. Every month, the data monitoring points of CLABSI, CAUTI and VAP incidence fell within the control limit, fluctuated on and off the central line, and there was no abnormal arrangement of data points. Every month,the incidences of CLABSI, CLABSI,CAUTI and VAP were different datapoints outside the warning limit,the rest were within the warning limit without abnormal arrangement, and "three catheters" infection was under control.Conclusion With the help of hospital quality control chart,we can scientifically and intuitively analyze the status of "three catheters" infection in ICU,which has the characteristics of simple operation,intuitive results and timely detection of problems. It can be widely used in the daily monitoring of ICU hospital infection.
管鲜花，陈红萍，张海英. 因2015—2019年某医院ICU“三管”感染状况及院感控制图的监控分析[J]. 中国医院统计, 2020, 27(3): 251-255.
Guan Xianhua, Chen Hongping, Zhang Haiying.. Analysis of infection status of "three catheters"in ICU and application of hospital infection control chart from 2015 to 2019. journal1, 2020, 27(3): 251-255.
[1]唐永丽，李亚林，龙婷.2018某三级综合医院住院患者院感现患率横断面调查结果[J].江苏预防医学，2019,30(4)：449-451.
[2] 卓宝华，胡银花，黄志荣.重症监护病房“三管”目标性监测结果的调查分析[J].福建医药杂志，2018,40（4）：138-141.
[3]张卫华.重症监护病房多重耐药菌感染的防控措施与对策[J].抗感染药学，2016,13（3）：577-579.
[4]BOWEN J R,CALLANDER I,RICHARDS R,et al.Decreasing infection in neonatal intensive care units through quality improvement[J].Areh Dis Child Fetal Neonatal Ed,2017,102(1):51-57.
[5]中华人民共和国国家卫生和计划生育委员会.重症监护病房医院感染预防与控制规范WS/T509-2016[J].中国感染控制杂志，2017,16(2)：191-194.
[6]王玉玲，韩森，张志娟.规范化护理干预措施对预防ICU术后医院获得性感染的效果研究[J].中华医院感染学杂志，2019，29（18）:2873-2876.
[7]董小余，盛苗苗，方少样.ICU病房导管相关性医院感染的统计分析[J].中国医院统计，2017,24（3):170-172.[
8]杨廷秀，徐艳，杨怀，等.ICU系统医院感染风险管理模式的构建及效果研究[J].中华医院感染学杂志，2019（20）：3166-3169.
[9] 段雯婷，王荔，杨祖群，等.Levey-Jennings质控图在医院感染病例监测中的应用[J].儿科药学杂志，2017，23（10)：44-46.
[10]程玉梅，刘媛怡，王迪芬.质量控制图在重症医学科医院感染质量控制中的应用实践[J].中华危重病急救医学，2017,29(2)：172-176.
[11]周海龙，封卫征，厉海洋，等.质量控制图在医疗质量持续改进中的应用[J].中国卫生质量管理，2015,22（6）：30-32.
[12]MISHRA S B,MISRA R,AZIM A,et al.Incidence,risk factors andassociated mortality of central line-associated bloodstream infections atan intensive care unit in northern India[J].Int J Qual HealthCare.2017，29(1)：63-67.
[13]陈文英，王佳，周璇.某医院2015—2017年老年呼吸系统疾病患者院内感染统计及危险因素分析[J].中国医院统计，2018，25（5):381-383.
[14]刘冰，马桂霞，王艳萍，等.2016—2018年某三甲医院住院患者医院感染现患率调查分析[J].新疆医科大学学报，2019，42(7)：954-958.
[15]曹洋，刘坤，纪少博，等.某综合性医院2016-2018.医院感染现患率调查[J].中国消毒学杂志，2019,36（5）：352-355.
