提高住院患者抗菌药物治疗前病原学送检率的效果评价  

Evaluation of the efficacy of improving the rate of etiological submission rate of hospitalized patients before antibiotic therapy

作　　者：陈荣荣 李奇峰[1] 李秋平 侯桂英[1] Chen Rongrong;Li Qifeng;Li Qiuping;Hou Guiying(The Affiliated Hospital of Qingdao University,Qingdao 266071,China)

机构地区：[1]青岛大学附属医院,山东青岛266071

出　　处：《中国医院统计》2024年第6期408-413,共6页Chinese Journal of Hospital Statistics

基　　金：青岛市医院协会管理研究项目资助(QYGL20230004)。

摘　　要：目的 探讨应用综合管理办法提高住院患者抗菌药物治疗前病原学送检率的效果。方法 选择2021年10月—2 023年9月某三级综合医院使用抗菌药物治疗的住院患者为研究对象,以2021年10月—2022年7月为干预前组,2022年8月—2023年9月为干预后组,比较实施综合管理办法干预前后住院患者抗菌药物治疗前病原学送检率。结果 实施综合管理办法干预后,住院患者抗菌药物治疗前病原学送检率由36.04%提升至57.69%,差异具有统计学意义(χ^(2)=2 385.916,P<0.001);医院感染诊断相关病原学送检率干预前、后分别为86.84%、84.86%,差异无统计学意义(χ^(2)=0.75,P=0.387);联合使用重点药物前病原学送检率由91.82%提升至95.70%,差异具有统计学意义(χ^(2)=11.905,P<0.001)。比较干预前后抗菌药物治疗前病原学送检项目的构成,干预前相关标志物构成比为45.0%,干预后相关标志物构成比高达56.3%(χ^(2)=1 710.297,P<0.001)。结论 通过综合管理可提高住院患者抗菌药物治疗前送检率,但病原学送检项目的内涵质量仍需提高。Objective To investigate whether comprehensiveimanagement improves the etiological submission rate of inpatients before antibiotic therapy.Methods The inpatients treated with antibiotics in a tertiary general hospital were recruited as research subjects from October 2021 to September 2023.The patients treated from October 2021 to July 2022 were taken as the pre-intervention group,those treated from August 2022 to September 2023 were taken as the post-intervention group,and the etiological submission rate before antibiotic therapy was compared before and after the comprehensive management.Results After the implementation of the comprehensive management method,the etiological submission rate before antibiotic therapy increased from 36.04% to 57.69%,with statistical significance(χ^(2)=2 385.916,P <0.001).The nosocomial infection diagnosis-related etiological submission rate changed from 86.84% before the intervention to 84.86% after the intervention,which didn t have a significant difference(χ^(2)=0.75,P=0.387).Combined key antibiotics increased the etiological submission rate from 91.82%to 95.70%,with a significant difference(χ^(2)=11.905,P <0.001).The composition of pathogen detection items before antibiotic therapy intervention was 45%,and the proportion of relevant biomarkers after intervention reached as high as 56.3%(χ^(2)=1710.297,P <0.001).Conclusion The comprehensive management proved effective in increasing the etiological submission rate before antibiotic therapy.However,the quality of etiological submission needs to be improved.

关 键 词：病原学送检率 综合管理 医院感染 抗菌药物 干预 

分 类 号：R47[医药卫生—护理学]