基于信息化的手卫生监测系统在ICU医院感染防控中的应用效果分析  

作　　者：蒋美娜[1] 郎毅平 吴静[1] 姚惠萍[1] 蒋怡[1] 高惠惠[1] 

机构地区：[1]浙江省人民医院(杭州医学院附属人民医院),310014

出　　处：《浙江临床医学》2022年第3期393-395,398,共4页Zhejiang Clinical Medical Journal

基　　金：浙江省医药卫生科技计划项目(2020KY423)。

摘　　要：目的探讨基于信息化的手卫生监测系统在ICU医院感染防控中的应用效果。方法选择ICU在职医护人员116例,2019年7月至2019年12月为基线阶段(对照组),2020年1月至2020年6月为干预阶段(观察组)。对照组采用世界卫生组织(WHO)提供的手卫生调查方法和工具统计手卫生依从性,观察组采用信息化系统监测手卫生依从性。比较两组间手卫生依从性、每床日速干手消液的消耗量、ICU内医院多重耐药菌检出率及医院感染发生率。结果观察组不同时机手卫生依从性均明显高于对照组,总体手卫生依从性(89.9%)也明显高于对照组(75.3%),两组间差异均有统计学意义(P<0.05)。观察组每床曰速干手消液的消耗量明显高于对照组,差异有统计学意义(P<0.05)。对照组与观察组标本送检次数分别为1,398次与1,525次,观察组肺炎克雷伯杆菌(耐三四代头孢菌素)、肺炎克雷伯杆菌(CRKP)、鲍曼不动杆菌(CRAB)和铜绿假单胞菌(CRPA)检出率均明显低于对照组,差异均有统计学意义(P<0.05)。观察组多重耐药菌感染例次率(4.5%)、医院感染率(3.8%)及医院感染例次率(5.4%)均明显低于对照组多重耐药菌感染例次率(13.3%)、医院感染率(10.9%)及医院感染例次率(14.7%),差异均有统计学意义(P<0.05)。结论基于信息化的手卫生依从性监测系统能够明显提高医务人员的手卫生依从性,减少医院感染的发生,值得在临床中推广应用。Objective To discuss the clinical effect of the application of information-based hand hygiene monitoring system in the prevention and control of nosocomial infection in intensive care unit(ICU).Methods A total of 116 in-service staff in ICU of our hospital were selected as study subjects.From July 2019 to December 2019 was the baseline phase(control group),and the period from January 2020 to June 2020 was the intervention phase(observation group).The control group adopted the hand hygiene survey methods and tools provided by the World Health Organization(WHO)to measure the hand hygiene compliance,while the observation group took the information system to monitor the hand hygiene compliance.Compare the hand hygiene compliance,consumption of daily dry hand disinfectant per bed,detection rate of multiple drug resistant bacteria in ICU and nosocomial infection rate between the two groups.Results The hand hygiene compliance of the observation group was significantly higher than that of the control group at different times,and the overall hand hygiene compliance(89.9%VS.75.3%)of the observation group was significantly higher than that of the control group,with statistical significance(P<0.05).The consumption of daily dry hand disinfectant per bed in the observation group was significantly higher than that in the control group,with statistical significance(P<0.05).The number of specimens of the control group and the observation group were respectively 1398 and 1525 times.The detection rates of Klebsiella pneumoniae(resistant to third-generation and forth-generation cephalosporin),Klebsiella pneumoniae(CRKP),Acinetobacter baumannii(CRAB)and Pseudomonas aeruginosa(CRPA)of the observation group were significantly lower than those in the control group,with statistical significance(P<0.05).The rate of multiple drug-resistant bacteria infection(4.5%VS.13.3%),nosocomial infection(3.8%VS.10.9%)and nosocomial infection(5.4%VS.14.7%)in the observation group were significantly lower than those in the control group,with statistical

关 键 词：手卫生 信息化监测系统 多重耐药菌 医院感染 

分 类 号：R47[医药卫生—护理学]