Perioperative infection prevention and management for upper urolithiasis based on HALF grouping
Objective:To evaluate the effectiveness of doctor-nurse collaboration management based on HALF(high risk,asymptomatic bacteriuria,low risk,fever)grouping in improving perioperative infection prevention and treatment of upper urolithiasis.Methods:Evidence was retrieved to form the plan mainly composed of grouping management,the screening for urinary sepsis,and 1-hour man-agement bundle.A controlled before-and-after study was implemented.The patients with upper urolithiasis admitted in January to De-cember 2023 were included in intervention group(n=2 142)and received perioperative infection prevention and management based on HALF grouping.The patients admitted in January to December 2022(n=1 938)were included in control group and received conven-tional management.The rate of rational antibiotic treatment course,detection rate of systemic inflammatory response syndrome,and in-cidence of sepsis were compared between the two groups.Results:Compared with the control group,the intervention group showed sig-nificantly higher rates of rational antibiotic treatment course before operation(60.99％vs.76.24％,P=0.000)and after operation(76.62％vs.83.94％,P=0.000),a significantly higher detection rate of systemic inflammatory response syndrome(5.21％vs.6.91％,P=0.024),a significantly lower postoperative incidence of sepsis(0.98％vs.0.42％,P=0.030),and a significantly narrower window of antibiotic use for sepsis[(57.45±17.32)min vs.(50.90±16.08)min,P=0.039](P＜0.05).Conclusion:The doctor-nurse collabora-tion management based on HALF grouping can improve the quality of perioperative infection prevention and treatment in upper uroli-thiasis,and is worth promoting.
万方数据
维普
