多部门联合干预对重症监护病房多重耐药菌感染管理的效果研究  

Study on the effect of multi-sectoral joint intervention on the management of multi-drug resistant organisms infection

作　　者：俞娟芬[1] 邢虎[1] 张德厚[1] 赵燕燕[1] 孙艳[1] YU Juan-fen;XING Hu;ZHANG De-hou;ZHAO Yan-yan;SUN Yan(Affiliated Hospital of Jiangsu University,Zhenjiang Jiangsu 212001,China)

机构地区：[1]江苏大学附属医院,江苏镇江212001

出　　处：《中国消毒学杂志》2022年第1期58-61,共4页Chinese Journal of Disinfection

基　　金：江苏省医院协会医院管理创新研究课题重点项目(JSYGY-2-2019-13)。

摘　　要：目的探讨多部门联合干预措施对重症监护病房多重耐药菌感染管理的应用效果。方法通过现况调查、原因分析以及实行多种干预措施等,比较某院综合ICU干预前后的多重耐药菌感染情况。结果干预前该院综合ICU 2016年1—4季度多重耐药菌感染率分别为16.82%、17.17%、23.40%和21.62%,干预后2017年4季度和2018年1-3季度多重耐药菌感染率明显降低,分别为4.63%、2.08%、2.44%和4.90%。干预前总感染率19.71%,干预后总感染率3.50%,明显低于干预前,差异具有统计学意义(χ^(2)=54.498,P<0.001)。结论通过多部门联合干预,运用质量持续改进的方法能有效降低ICU多重耐药菌感染率,进而有效控制医院感染的发生。Objective To explore the effect of multi-sectoral joint intervention measures on the management of multi-drug resistant organisms infection.Methods Through prevalence survey,cause analysis and implementation of various intervention measures,the status of multi-drug resistant organisms infection before and after intervention in the comprehensive ICU of our hospital was compared.Results Before the intervention,the infection rates of multi-drug resistant organisms in the comprehensive ICU of our hospital during the first quarter to the fourth quarter of 2016 were 16.82%,17.17%,23.40%,and 21.62%,respectively.After the intervention,the infection rates of multidrug-resistant organisms decreased significantly in the fourth quarter of 2017 and that of the first quarter to the third quarter of 2018 were 4.63%,2.08%,2.44%,and 4.90%,respectively.The total infection rate was 19.71%before the intervention,and 3.50%after the intervention,which was significantly lower than that before the intervention.The difference was statistically significant(χ^(2)=54.498,P<0.001).Conclusion Through multi-sectoral joint intervention and continuous quality improvement,the infection rate of multi-drug resistant organisms in ICU can be effectively reduced,and the occurrence of nosocomial infection can be effectively controlled.

关 键 词：重症监护室 多部门联合 多重耐药菌 干预效果 

分 类 号：R197.3[医药卫生—卫生事业管理]