ABC分类控制法在多重耐药菌感染防控中的应用  

ABC classified control method in the application of MDRO infection prevention and control

作　　者：付善云 吴丹 陈黎媛 杨怀[2] 

机构地区：[1]贵州省毕节市中医院,贵州毕节551700 [2]贵州省人民医院

出　　处：《中国消毒学杂志》2015年第8期780-782,共3页Chinese Journal of Disinfection

基　　金：贵州省科技厅基金(2273号)

摘　　要：目的研究ABC分类控制法在医院多重耐药菌感染控制中的应用,确定重点管理范围。方法采用回顾性调查和ABC分类控制方法,对某医院住院患者多重耐药菌感染患者临床资料和病原学检测结果进行了统计分析和ABC分类确认。结果共调查多重耐药菌感染病例132例,根据各组调查数据,按ABC分类控制法确定,多重耐药菌重点控制人群为60岁及其以上年龄患者,重点控制科室分别为骨伤科、肾病科、普外科和肺病科,重点控制菌群为肠杆菌属、葡萄球菌属、埃希菌属、肠球菌属等多重耐药菌菌群。结论采用ABC分类控制法,结合医院感染调查数据,可以明确感染管理重点对象,并能体现医院特点。Objective Research on the ABC control method in the application and control of hospital infections with multi-ple drug-resistant bacteria,to determine the scope of the key management. Methods Using the retrospective investigation and classification of ABC control method,in a certain hospital clinical data and pathogens in patients with multi drug resist-ant bacteria infection in patients with test results were analyzed and ABC identification. Results 132 cases with were multi drug resistant bacteria infection were investigated. According to the survey data and ABC classification control method of multi drug resistant bacteria,the key control group of patients was 60 years old and older patients,the key control depart-ments were orthopedics and traumatology,department of nephropathy,department of general surgery and lung disease,the key control bacteria were enterobacter,grape Staphylococcus,Escherichia,Enterococcus and other multi drug resistant bacte-ria. Conclusion By using the ABC control method,combining with the investigation data of hospital infection,we can de-termine infection management,and reflect the characteristics of hospital.

关 键 词：ABC分类控制法 多重耐药菌 医院感染管理 

分 类 号：R184[医药卫生—流行病学]