ECRS管理模式对多重耐药菌医院感染防控质量的影响  

Effect of ECRS management mode on nosocomial infection prevention and contr quality of multidrug-resistant organisms

作　　者：张敏[1] 黄亚琴 宣姗姗 刘颖[4] 周斌[1] ZHANG Min;HUANG Yaqin;XUAN Shanshan;LIU Ying;ZHOU Bin(Department of Nosocomial Infection Management,the First Hospital of Nanchang,Nanchang,Jiangxi 330008,P.R.China;Department of Gastroenterology,the First Hospital of Nanchang,Nanchang,Jiangxi 330008,P.R.China;Department of Endocrinology,the First Hospital of Nanchang,Nanchang,Jiangxi 330008,P.R.China;Department of Hepatobiliary and Pancreatic Surgery,the First Hospital of Nanchang,Nanchang,Jiangxi 330008,P.R.China)

机构地区：[1]南昌市第一医院医院感染管理科,南昌330008 [2]南昌市第一医院消化内科,南昌330008 [3]南昌市第一医院内分泌科,南昌330008 [4]南昌市第一医院肝胆胰外科,南昌330008

出　　处：《华西医学》2023年第3期374-379,共6页West China Medical Journal

基　　金：江西省卫生健康委员会科技计划项目(202211564)。

摘　　要：目的评价ECRS管理模式对多重耐药菌(multidrug-resistant organism,MDRO)医院感染防控质量的影响。方法回顾性收集南昌市第一医院2020、2021年度的MDRO防控相关资料。2020年医院按照《多重耐药菌医院感染预防与控制专家共识》要求,实施常规的MDRO感染防控管理;2021年医院在此基础上运用ECRS法四原则对MDRO感染防控管理进行取消、合并、重排、简化。分析对比两个年度间环境物体表面MDRO检出率、MDRO医院感染发生例次率、手卫生依从率、接触隔离防控措施执行率、MDRO感染防控教育考核合格率。结果2021年环境物体表面MDRO检出率低于2020年(9.39%vs.31.63%),MDRO医院感染发生例次率低于2020年(1.18%vs.1.46%),医务人员、工勤人员和陪护者的手卫生依从率高于2020年(90.99%vs.78.63%,73.51%vs.45.96%,70.96%vs.33.71%),接触隔离防控措施执行率高于2020年(93.31%vs.70.79%),医务人员、工勤人员和陪护者的MDRO感染防控教育考核合格率高于2020年(96.57%vs.81.31%,76.47%vs.47.95%,73.17%vs.34.19%),差异均有统计学意义(P<0.05)。结论ECRS管理模式可提升MDRO医院感染防控的执行力及防控水平,降低MDRO医院感染发生率。Objective To evaluate the effect of ECRS management model on the quality of prevention and control of hospital infection with multidrug-resistant organisms(MDROs).Methods The data related to the prevention and control of MDROs in the First Hospital of Nanchang in 2020 and 2021 were retrospectively collected.The hospital implemented routine MDRO infection prevention and control management in accordance with the Expert Consensus on the Prevention and Control of Multi-drug Resistant Bacteria Nosocomial Infection in 2020.On this basis,the hospital applied the four principles of the ECRS method to cancel,combine,rearrange and simplify the MDRO infection prevention and control management.The detection rate of MDROs on object surfaces,the incidence rate of hospital infection of MDROs,the compliance rate of hand hygiene,the implementation rate of contact isolation prevention and control measures,and the pass rate of MDRO infection prevention and control education assessment were analyzed and compared between the two years.ResultsThe detection rate of MDROs on the surfaces in 2021 was lower than that in 2020(9.39%vs.31.63%).The hospital-acquired MDRO infection rate in 2021 was lower than that in 2020(1.18%vs.1.46%).The hand hygiene compliance rates of medical staff,workers and caregivers in 2021 were higher than those in 2020(90.99%vs.78.63%,73.51%vs.45.96%,70.96%vs.33.71%).The implementation rate of contact isolation prevention and control measures in 2021 was higher than that in 2020(93.31%vs.70.79%).The qualified rates of MDRO infection prevention and control education in medical personnel,workers and caregivers in 2021 were higher than those in 2020(96.57%vs.81.31%,76.47%vs.47.95%,73.17%vs.34.19%).All the differences above were statistically significant(P<0.05).ConclusionECRS management mode can improve the execution and prevention level of MDRO hospital infection prevention and control,and reduce the incidence of MDRO hospital infection.

关 键 词：多重耐药菌 预防与控制 医院感染管理 ECRS管理模式 

分 类 号：R197.323[医药卫生—卫生事业管理]