预防性多模式医院感染控制策略应用与效果研究  

Application and effectiveness of preventive multi-modal hospital infection control strategies

作　　者：刘艳[1] 杜相学[2] LIU Yan;DU Xiangxue(Affiliated Hospital of Shandong Academy of Medical Sciences,No.38,Wuyingshan Road,Ji'nan,Shandong Province,250031,PRC)

机构地区：[1]山东省医学科学院附属医院,山东省250031 [2]山东省医学科学院附属医院医务科,山东省250031

出　　处：《中国医院》2021年第9期49-51,共3页Chinese Hospitals

摘　　要：目的:探讨预防性多模式医院感染控制策略对医院感染的干预效果。方法:对比分析山东省医学科学院附属医院实施预防性多模式医院感染控制策略前后医院感染高风险科室住院患者医院感染发生情况,重点分析多重耐药菌感染发生率、多重耐药菌检出率、抗生素合理使用率、标本送检率、消毒合格率及医务人员医院感染控制处理依从性、医院感染发生部位及感染例次之间的差异。结果:实施后高风险科室医院感染发生率为6.95%,多重耐药菌检出率为2.79%,多重耐药菌感染率为2.94%,均显著低于实施前;实施后高风险科室抗生素合理使用率为71.87%,治疗性抗生素使用后标本送检率为54.21%,均显著高于实施前;实施前高风险科室消毒合格率及医务人员依从性均显著低于实施后;实施前后患者医院感染部位均以下呼吸道感染为主,其次为上呼吸道、泌尿道及浅表切口。结论:预防性多模式医院感染控制策略实施后有效增加了消毒合格率及医务人员无菌操作依从性,进一步提升了抗生素合理应用水平,有效降低了医院感染发生率。Objective:To explore the effect of preventive multi-modal nosocomial infection control strategy on nosocomial infection.Methods:A comparative analysis of the incidence of nosocomial infections among inpatients in the high nosocomial infection risk department before and after the implementation of the preventive multi-mode nosocomial infection control strategy in the Affiliated Hospital of Shandong Academy of Medical Sciences.Focus on the analysis of the incidence of multi-drug-resistant bacteria,the detection rate of multi-drug-resistant bacteria,the rational use rate of antibiotics,the rate of specimen submission,and the rate of qualified disinfection,and the differences between medical staff’s compliance with hospital infection control treatment,the site of nosocomial infection and the number of infections.Results:After the implementation,the incidence of nosocomial infection in high-risk departments was 6.95%,the detection rate of multi-drug-resistant bacteria was 2.79%,and the infection rate of multi-drug-resistant bacteria was 2.94%,both significantly lower than before the implementation.After the implementation,the rational use rate of antibiotics in high-risk departments was 71.87%,and the sample submission rate after the use of therapeutic antibiotics was 54.21%,both significantly higher than before the implementation.The qualification rate of disinfection in high-risk departments and the compliance of medical staff before implementation were significantly lower than after implementation.Before and after the implementation,the nosocomial infections of the patients were mainly lowered respiratory tract infections,followed by the upper respiratory tract,urinary tract and superficial incisions.Conclusion:The implementation of the preventive multi-mode hospital infection control strategy effectively increased the disinfection qualification rate and the compliance of medical staff aseptic operation,further improved the level of reasonable application of antibiotics,and effectively reduced the incidence of ho

关 键 词：医院感染 多重耐药菌 预防性控制 

分 类 号：R197[医药卫生—卫生事业管理]