感染防控联络护士主导的ICUCRKP防控方案的优化与效果  

Optimization and effect of CRKP prevention and control protocol in ICU led by infection control link nurserses

作　　者：史瑶 彭琳 杜明梅[2] 刘运喜[2] 马慧 SHI Yao;PENG Lin;DU Ming-mei;LIU Yun-xi;MA Hui(First Affiliated Hospital of Naval Medical University,Shanghai 200433,China;不详)

机构地区：[1]海军军医大学第一附属医院重症医学科,上海200433 [2]解放军总医院第一医学中心疾病预防控制科,北京100853 [3]解放军总医院护理部,北京100853

出　　处：《中华医院感染学杂志》2024年第16期2526-2530,共5页Chinese Journal of Nosocomiology

基　　金：联勤保障部队军事理论科研项目(JJ2020A06-B010);国家社科基金军事学项目(2020-SKJJ-K-B-001);2022年海军军医大学深蓝护理科研项目(2022KYG15)。

摘　　要：目的优化感染防控联络护士主导的重症监护室(ICU)耐碳青霉烯类肺炎克雷伯菌(CRKP)感染防控方案并验证其效果。方法成立研究团队,以多准则决策分析法为理论基础,通过筛选重症监护室耐碳青霉烯类肺炎克雷伯菌感染影响因素、调查其感染防控薄弱点,采用文献调研、专家咨询等方法,优化感染防控联络护士主导的重症监护室耐碳青霉烯类肺炎克雷伯菌防控方案;比较优化方案实施前后各项指标的差异,验证优化方案的临床效果。结果实施感染防控联络护士主导的重症监护室耐碳青霉烯类肺炎克雷伯菌感染防控优化方案后,耐碳青霉烯类肺炎克雷伯菌感染率降低(P<0.001);环境检出率下降、ATP检测合格率提升(P<0.05),手卫生执行情况、多重耐药菌知识调查情况均有所改善。结论以感染防控联络护士为主导的重症监护室耐碳青霉烯类肺炎克雷伯菌防控优化方案可提升医务人员的防控意识,降低耐碳青霉烯类肺炎克雷伯菌感染的发生率。OBJECTIVE To optimize the infection control link nurses-led intensive care unit(ICU)carbapenem-resistant Klebsiella pneumoniae(CRKP)infection prevention and control program and validate its effectiveness.METHODS A research team was set up to optimize the ICLN-led ICU CRKP prevention and control program by screening ICU CRKP infection influencing factors,investigating ICU CRKP infection prevention and control weaknesses,and adopting methods such as literature research and expert consultation,based on the theoretical basis of multiple criteria decision analysis.To compare the differences in the indicators before and after the implementation of the optimization program,and to verify the clinical effectiveness of the ICLN-led optimization program for infection prevention and control of ICU CRKP.RESULTS After the implementation of the ICLN-led ICU CRKP infection prevention and control optimization program,the CRKP infection rate of ICU patients was reduced(P<O.001).The environmental detection rate was reduced,while the qualified rate of ATP test was increased(P<0.O05),and the implementation of hand hygiene and the survey of knowledge of multidrug-resistant bacteria were improved.CONCLUSION Optimizing the ICLN-led CRKP prevention and control program can improve the prevention and control awareness of medical staff and reduce the incidence of ICU CRKP infections.

关 键 词：医院感染 感染防控 重症监护室 耐碳青霉烯类肺炎克雷伯菌 感染防控联络护士 

分 类 号：R183[医药卫生—流行病学]