集束化干预策略在预防ICU多重耐药菌感染中的应用  

Cluster-based Intervention Strategies Used in the Prevention of ICU Multi-drug Resistant

作　　者：张静[1] 纪灏[1] 窦颖[1] 李志夫[1] 任益炯[2] 

机构地区：[1]上海交通大学附属胸科医院感染控制办公室,上海200030 [2]上海交通大学医学院附属上海儿童医学中心院长办公室,上海200127

出　　处：《解放军医院管理杂志》2014年第8期720-721,732,共3页Hospital Administration Journal of Chinese People's Liberation Army

基　　金：上海市胸科医院院级课题资助(YZ13-12)

摘　　要：目的探讨集束化干预策略对预防ICU多重耐药菌的作用。方法选取207例ICU患者,分为观察组与对照组,对照组患者接受常规措施,观察组在此基础上接受集束化干预策略,比较两组多重耐药菌的发生率、并发症的发生率、医院感染的发生率和抗生素费用情况。结果观察组多重耐药菌的发生率、并发症的发生率、医院感染的发生率和抗生素费用均低于对照组,两者差异有统计学意义(P<0.05)。结论对ICU患者进行集束化干预策略的做法值得临床推广。Objective To determine the impacts of cluster -based intervention strategies for multi -drug resistant in ICU .Methods 207 patients in ICU were divided into observation group and control group , the control group received conventional measures , the observation group received the bundling of intervention strategies and the conventional measures .The incidence of multi -drug resistant , complications incidence of nosocomial infection in-cidence and antibiotic cost situation were compared in the two groups .Results The incidence of multiple drug -resistant patients , the incidence of complications , the incidence of nosocomial infection and antibiotic costs were lower in the observation group , and the difference was statistically significant compared with the control group （ P＆lt;0.05）.Conclusion The bundling of cluster of intervention strategies can reduce the incidence of multi -drug re-sistant, the complications, the hospital infection rates and medical costs , it is worthy of promotion.

关 键 词：集束化干预 多重耐药菌 重症监护病房 

分 类 号：R197.32[医药卫生—卫生事业管理]