摘要
目的了解郑州市“提高住院患者抗菌药物治疗前病原学送检率”专项行动(简称“专项行动”)的管理模式与改进现况。方法2023年12月1-5日对郑州市开展“专项行动”的41所医院进行网络调查,对哨点医院与非哨点医院“专项行动”管理现况进行描述性分析,并对比“专项行动”前后住院患者抗菌药物治疗前病原学送检率、医院感染诊断相关病原学送检率、联合使用重点药物前病原学送检率的差异。结果78.05%的医院成立了“专项行动”专家组,管理的薄弱环节为“安排感染/感控科室人员到微生物实验室轮转或学习”,哨点医院为25.00%,非哨点医院为21.21%;“专项行动”后住院患者抗菌药物治疗前病原学送检率为60.27%(473262/785298),达到目标值,医院感染诊断相关病原学送检率74.04%(8158/11019)和联合使用重点药物前病原学送检率92.03%(10610/11529),均未达到目标值;“专项行动”后不同级别、不同类别、不同性质医院的三个送检率指标均高于“专项行动”前(P<0.05)。结论“专项行动”初见成效,能够有效规范管理模式,提高住院患者抗菌药物治疗前病原学送检率的各项指标,但仍需进一步加强对检验项目及标本质控方面的同质化管理。
OBJECTIVE To understand the management modes of the special action′raising etiological submission rate for hospitalized patients before antibiotic treatment′in Zhengzhou and analyze the status of improvement.METHODS An online survey was conducted for 41 hospitals of Zhengzhou where the special action was carried out from Dec 1,2023 to Dec 5,2023.The descriptive analysis was performed the management status of the special action in sentinel hospitals and non-sentinel hospitals.The etiological submission rate before antibiotic treatment,related etiological submission rate for diagnosis of nosocomial infection and etiological submission rate before combined use of major antibiotics were observed and compared before and after the special action was carried out.RESULTS The expert team for the special action was established in 78.05%of the hospitals.′Arranging the personnel of infection control department to rotate or learn in microbial laboratory′was the weak link of management,accounting for 25.00%in the sentinel hospitals and 21.21%in non-sentinel hospitals.The etiological submission rate before antibiotic treatment was 60.27%(473262/785298)after the special action was carried out,reaching the target value;the related etiological submission rate for diagnosis of nosocomial infection was 74.04%(8158/11019),the etiological submission rate before combined use of major antibiotics was 92.03%(10610/11529),and both did not reach the target value.The three types of submission rates of the different grades,types and natures of hospitals were significantly higher after the special action was carried out than before the special action was carried out(P<0.05).CONCLUSION The special action can effectively standardize the management mode and raise the indexes of etiological submission rate before antibiotic treatment,and it achieves preliminary effect.It is necessary to further strengthen the homogenized management of test items and sample quality control.
作者
阎颖
刘琛
王文文
郑方兰
张岚
赵烁
YAN Ying;LIU Chen;WANG Wen-wen;ZHENG Fang-lan;ZHANG Lan;ZHAO Shuo(The Fifth Clinical Medical College of Henan University of Chinese Medicine(Zhengzhou People's Hospital),Zhengzhou,Henan 450002,China;不详)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2024年第10期1563-1568,共6页
Chinese Journal of Nosocomiology
基金
河南省医学科技攻关计划项目(LHGJ20191082)。
关键词
抗菌药物治疗
病原学送检
郑州市医院
改进目标
Antibiotic treatment
Etiological submission
Hospital of Zhengzhou
Improvement target
