摘要
目的探讨强化手卫生,包括改进医护人员洗手条件,加强洗手教育,提高洗手依从性等措施,对ICU内耐甲氧西林金葡菌(MRSA)感染控制的效果。方法监测分析强化手卫生前后ICU内痰标本MRSA菌株检出率的变化。结果强化手卫生使ICU内痰标本MRSA的检出率从16.9例/1000人天/月降低到9.3(P<0.05),并且降低的程度与医护人员洗手依从率密切有关。结论强化手卫生对控制ICU内MRSA的医院感染切实有效,而合理安排工作量,加强教育和监督才能提高洗手依从性。
Objective To assess the effect of intensive hand hygiene on reducing the incidence of nosocomial methicillin-resistant S. aureus （MRSA） infections. Methods The prevalence of MRSA isolated from sputum in ICU was compared before and after the introduction of interventions （intensive hand hygiene） Results There was significant reduction in MRSA prevalence from 16.9/1000 patient-day per month before intervention to 9. 3/1000 patient-day per month after intervention for 6 months （P^0.05）. The reduction was closely related to the improvement of hand hygiene compliance. Conclusions Intensive hand hygiene is effective in reducing nosocomial prevalence of MRSA. Appropriate work load and infection control education can improve hand hygiene compliance.
出处
《中国感染与化疗杂志》
CAS
2008年第1期60-62,共3页
Chinese Journal of Infection and Chemotherapy
关键词
强化手卫生
耐甲氧西林金葡菌
医院感染
Intensive hand hygiene
Methicillin resistant Staphylococcus aureus
Nosocomial infection
