多学科协作在多重耐药菌感染防控中的应用研究  

Application of multidisciplinary cooperation in prevention and control of multidrug-resistant organism infection

作　　者：毛秋云[1] 贾超 张玲[1] 梁雪冰[2] 张伟[3] MAO Qiuyun;JIA Chao;ZHANG Ling;LIANG Xuebing;ZHANG Wei(Department of Hospital Infection Management,Tai'an Central Hospital,Tai'an 271000,China;Medical Insurance Office,Tai'an Central Hospital,Tai'an 271000,China;Department of Respiratory Medicine,Tai'an Central Hospital,Tai'an 271000,China)

机构地区：[1]泰安市中心医院医院感染管理科,271000 [2]泰安市中心医院医疗保险办公室,271000 [3]泰安市中心医院呼吸内科,271000

出　　处：《护理管理杂志》2020年第10期749-752,共4页Journal of Nursing Administration

基　　金：山东省医药卫生科技发展计划项目(2017WS596)。

摘　　要：目的探讨多学科团队协作在多重耐药菌医院感染管理中的应用效果,为医院开展多学科协作提供方法学指导。方法选取2017年7月至2019年6月共1132例多重耐药菌感染患者管理处置相关数据,2017年7月至2018年6月多学科团队协作前512例患者作为对照组,2018年7月至2019年6月多学科团队协作后620例患者作为实验组,多学科团队协作完善医院内多重耐药菌报告、监管、防控等环节流程,比较多学科团队协作前后各项医院感染质量评价指标的差异。结果实施多学科团队协作后,多重耐药菌感染患者各项防控措施落实率明显提高;多重耐药菌检出率由18.38%下降至15.34%,多重耐药菌医院感染发生率由0.52%下降至0.20%,差异均有统计学意义(P<0.01)。结论实施多学科团队协作增强了各部门参与合作程度,发挥了学科间优势互补,提高临床医务人员对多重耐药菌防控措施落实的执行力,对有效降低多重耐药菌医院感染发生率有重要作用。Objective To explore the effect of improving multidisciplinary cooperation in management of multidrug-resistant organism(MDRO)infection,and provide methodological guidance for hospital multisectors’collaborative management.Methods Related data about management and disposal of 1132 cases of MDRO infection occurred from July 2017 to June 2019 were collected.And 512 patients before multidisciplinary cooperation from July 2017 to June 2018 were set as the control group,while 620 patients after multidisciplinary cooperation from July 2018 to June 2019 were set as the trial group.Multidisciplinary cooperation was used to improve the process of the reporting,supervision,prevention and control of MDROs in hospital.Various quality evaluation indexes of healthcare-associated infection before and after multidisciplinary cooperation were compared.Results After the implementation of multidisciplinary cooperation,the implementation rate of various prevention and control measures for MDRO infection patients significantly improved.Detection rate of MDROs decreased from 18.38%to15.34%,while incidence of MDRO HAL decreased from 0.52%to 0.20%.Those differences were all significant(P<0.01).Conclusion Multidisciplinary participation and cooperation can enhance the cooperation between different departments,give full play to the complementary advantages of interdisciplinary,and can improve medical staff’s execution to prevent and control MDROs infection,which plays an important role in reducing the incidence of MDROs infection effectively.

关 键 词：多学科协作 多重耐药菌 医院感染 护理管理 

分 类 号：R47[医药卫生—护理学] C931.2[医药卫生—临床医学]