选择式目标管理提高临床微生物标本送检率  

Applying selective targeted management to improve microbial specimen detection rate

作　　者：杨婧[1] 杨蕾[1] 刘姗[1] 唐莉[1] 侯晓娜[1] 刘宝军[1] 

机构地区：[1]沈阳军区总医院,辽宁沈阳110840

出　　处：《中国感染控制杂志》2015年第5期342-343,349,共3页Chinese Journal of Infection Control

摘　　要：目的提高治疗性使用抗菌药物使用前临床微生物标本送检率。方法以科室为单位开展选择式目标管理,以开展管理前为对照组(2013年7—9月),开展管理后为干预组(2013年10—12月),比较管理前后住院患者治疗性抗菌药物使用前临床微生物标本送检情况。结果所有住院患者中,治疗性使用抗菌药物患者11 254例,送检3 426例,送检率为30.44%;对照组与干预组的送检率分别为28.80%、31.89%,送检率比较,差异有统计学意义(χ2=12.71,P<0.05)。限制级、特殊级治疗性使用抗菌药物患者分别为3 716例、1 418例,送检率分别为46.61%、79.20%。限制级、特殊级治疗性使用抗菌药物患者对照组与干预组送检率比较,差异均有统计学意义(χ2值分别为32.86、19.31,均P<0.05)。结论应用选择式目标管理,可以提高治疗性应用抗菌药物前临床微生物标本送检率。Objective To improve microbial specimen detection rate before therapeutic antimicrobial use. Methods A system of selective targeted management by clinical department was established, before management was as control group （July-September 2013）, after management was as intervention group（October-December 2013）, microbial specimen detection in patients before antimicrobial use was compared between before and after management. Results Of all hospitalized patients, 11 254 received therapeutic antimierobial agents, 3 426 were sent specimens for microbial detection, the specimen detection rate was 30.44% ; specimen detection rate in control and intervention group was 28.80% and 31.89% respective- ly , the difference was significant（x^2 = 12.71, P〈0.05）. 3 716 patients（46. 61% ） received restrained antimicrobial therapy, and 1 418 （79. 20 % ） received special antimicrobial therapy, compared with control group, the difference were both significant（x^2 = 32.86, 19.31, respectively, both P〈0. 05）. Conclusion Applying selective targeted management can improve microbial specimen detection rate before therapeutic use of antimicrobial agents.

关 键 词：目标管理 微生物 标本 病原学检查 

分 类 号：R197.32[医药卫生—卫生事业管理] R446[医药卫生—公共卫生与预防医学]