目标性监测联合集束化管理对呼吸道多重耐药菌感染患者的陪护人员隔离护具使用率及手卫生合格率的影响  

Effects of targeted surveillance combined with cluster management on isolation protector use rate and hand hygiene qualification rate in caregivers of patients with respiratory tract multidrug-resistant bacterial infections

作　　者：魏臻[1] 田小荣[2] 李梦思 区宁[1] 闫慧霞[1] Wei Zhen;Tian Xiaorong;Li Mengsi;Ou Ning;Yan Huixia(Interventional Operation Room,Second Hospital of Shanxi Medical University,Taiyuan 030000,Shanxi Province,China;Operating Room,Second Hospital of Shanxi Medical University,Taiyuan 030000,Shanxi Province,China)

机构地区：[1]山西医科大学第二医院介入手术室,太原030000 [2]山西医科大学第二医院手术室,太原030000

出　　处：《中国基层医药》2021年第12期1848-1851,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：山西医科大学第二医院基金项目(201904-5)。

摘　　要：目的探讨目标性监测联合集束化管理对呼吸道多重耐药菌感染患者的陪护人员隔离护具使用率及手卫生合格率的影响。方法山西医科大学第二医院从2019年7月开始对呼吸道多重耐药感染患者的陪护人员开展目标性监测联合集束化管理,实施管理前收治呼吸道多重耐药感染50例为实施前组,实施目标性监测联合集束化管理后收治呼吸道多重耐药感染为51例实施后组。将实施前后6个月患者陪护人员多重耐药菌感染情况、隔离用具使用率、环境消毒情况及手卫生合格率进行比较,分析目标性监测联合集束化管理对医院感染防控的价值。结果实施后5例呼吸道多重耐药菌感染患者的陪护人员感染例数明显低于实施前13例(P<0.05);实施后组陪护人员戴口罩(94.11%)、穿隔离衣(80.39%)、戴手套率(98.03%)均高于实施前组(70.00%、62.00%、78.00%),差异均有统计学意义(χ^(2)=10.027、4.911、9.683,均P<0.05),实施后组陪护人员手卫生(82.35%)、物体表面(76.47%)、空气合格率(78.00%)均明显高于实施前组(64.00%、58.00%、64.00%),差异均有统计学意义(χ^(2)=4.341、3.915、5.450,均P<0.05)。结论目标性监测联合集束化管理可有效控制呼吸道多重耐药菌感染患者的陪护人员感染情况,提高隔离护具使用率及手卫生合格率。Objective To investigate the targeted surveillance combined with cluster management on isolation protector use rate and hand hygiene qualification rate in caregivers of patients with respiratory tract multidrug-resistant bacterial infections.Methods Second Hospital of Shanxi Medical University began to perform targeted surveillance combined with cluster management among caregivers of patients with multidrug-resistant bacterial infections in July 2019.The caregivers of 50 patients with respiratory tract multidrug-resistant bacterial infections who were admitted before targeted surveillance combined with cluster management were included in the pre-implementation group.The caregivers of 50 patients with respiratory tract multidrug-resistant bacterial infections who were admitted after targeted surveillance combined with cluster management were included in the post-implementation group.Multidrug-resistant bacterial infections in caregivers,isolation protector use rate,environmental disinfection and hand hygiene qualification rate were compared between before and after 6 months of targeted surveillance combined with cluster management.The application value of targeted surveillance combined with cluster management in the prevention of respiratory tract multidrug-resistant bacterial infections was analyzed.Results The number of caregivers with respiratory tract multidrug-resistant bacterial infections in the post-implementation group was lower than that in the pre-implementation group(5 vs.13,P<0.05).The proportion of caregivers who wear a mask(94.11%),isolation clothes(80.39%)and gloves(98.03%)in the post-implementation group was significantly higher than that in the pre-implementation group(70.00%,62.00%,78.00%,χ^(2)=10.027,4.911,9.683,all P<0.05).The proportion of caregivers who were qualified in terms of hand hygiene(82.35%),object surface(76.47%),and keeping the air fresh in the post-implementation group was significantly higher than that in the pre-implementation group(64.00%,58.00%,64.00%,χ^(2)=4.341,3.915,5.45

关 键 词：抗药性 多种 细菌 呼吸道感染 手卫生 目标性监测 集束化管理 

分 类 号：R197.323[医药卫生—卫生事业管理]