Investigation on clinical practice in implementation of nosocomial infection prevention and control on nurses from medical institutions

Objective To investigate the current situation of clinical practice of nosocomial infection on nurses from medical institutions so as to provide evidences for policy administrative department to formulate nursing-related nosocomial infection prevention and control, and implement best practice for nosocomial infection. Methods Epidemic disease cross-sectional study was conducted in July 2015. Nosocomial Infection Specialized Committee of Chinese Nursing Association organized medical institution of each province and city, municipality and direct-controlled municipality to carry out investigation at a random date. The investigation content included basic information medical institutions and nursing staffs and three key sites of nosocomial infection (catheter-related bloodstream infection, catheter-associated urinary tract infection and ventilator-associated pneumonia) . Results A total of 122 medical institutions from 15 provinces and cities/municipalities/direct-controlled municipalities were involved in the investigation. A number of 11 437 questionnaires were collected. On the investigation day, the utilization rates of central venous catheter (CVC) , indwelling catheter, trachea cannula/ tracheotomy breathing machine were 2.7%, 4.3% and 1.0%. In terms of patients with indwelling central venous catheter, 44.2% patients had the catheter position of subclavian vein; the proportion of using chlorhexidine sanitizer for puncture skin sterilization was 5.4%; the proportion of no indication and non-renewal of catheter was 41.2%. In terms of patients with indwelling catheter, the proportion of collecting urine sample via cutting off the connection between catheter and urine collection bag was 39.0%; the proportion of patients with conducted bladder irrigation was 22.1%. In terms of patients with trachea cannula/tracheotomy breathing machine, 68.7% of patients used semi-reclining position; the proportion of using chlorhexidine oral cavity solution was 40.1%. Conclusions "Distance" and"gap" exist in clinical practice and best infectious control practice. The sanitation administrative department should formulate corresponding policy and index system to carry out the best clinical practice of nosocomial infection prevention and control on nursing staff. Key words: Nursing staff; Nosocomial infection; Catheter-related bloodstream infection; Catheter-associated urinary tract infection; Ventilator-associated pneumonia; Best clinical practice