摘要
目的采取集束化防控措施,探讨分析多重耐药菌的感染预防和控制效果。方法选择遵义市妇幼保健院2020年1月至2023年12月检出的多重耐药菌患者作为研究对象,汇总多重耐药菌的相关感染数据及防控情况,使用荧光标记监测床单元物体表面的清洁效果。控制后组在对控制前组采取的集束化防控措施和管理模式的基础上,针对控制前发现的相关问题进行积极的强化整改。比较2020年1月至2021年12月、2022年1月至2023年12月控制前后相关指标的变化情况。结果不同种类多重耐药菌感染的发病率比较差异无统计学意义(P>0.05)。采取一定的措施干预后,CRAB、MRSA及CRPA检出率均较控制前降低,物体表面、空气、医务人员手的合格率均较控制前提高,隔离医嘱下达、隔离标识放置、医疗用品专用和医疗废物的正确处置等关键措施的依从率较控制前提高,差异具有统计学意义(P>0.05)。结论针对多重耐药菌的感染情况,针对性地采取集束化防控措施可以有效提高多重感染耐药菌的预防效果。
Objective To explore and analyze the effect of bundled prevention and control measures on infection prevention and control of multi-drugresistant Organism.Methods Patients with multi-drugresistant Organism detected in Zunyi Maternal and Child Health Care Hospital from January 2020 to December 2023 were selected as research subjects,the relevant infection data and prevention and control status of multi-drugresistant Organism were summarized,and fluorescent markers were used to monitor the cleanliness of the surface of bed unit objects.Based on the clustered prevention and control measures and management model adopted by the pre-control group,the post-control group actively strengthened and rectified the relevant problems discovered before the control.Compare the changes in relevant indicators before and after control from January 2020 to June 2021,and from June 2021 to December 2023.Results Comparison of the incidence rates of hospital infections with different types of multi-drugresistant Organism was not statistically significant(P>0.05).After taking certain measures to intervene,the detection rates of CRAB,MRSA and CRPA were reduced compared with those before control,the pass rates of object surfaces,air and medical staff’s hands were improved compared with those before control,and the adherence rates to the key measures of issuing medical orders for isolation,placing isolation signs,specializing in medical supplies and proper disposal of medical waste were improved compared with the previous ones,and the differences were statistically significant(P<0.05).Conclusion Targeted cluster prevention and control measures can effectively improve the infection situation of multi-drugresistant organism.The preventive effect of drugresistant organism on multiple infections.
作者
陈廷波
刘春
刘天艳
CHEN Tingbo;LIU Chun;LIU Tianyan(Zunyi Maternal and Child Health Care Hospital,Zunyi,Guizhou 563000,China)
出处
《生物医学工程学进展》
CAS
2024年第3期268-274,共7页
Progress in Biomedical Engineering
关键词
防控
集束化措施
预防
多重耐药菌
Prevention and Control
Bundled Measures
Prevention
Multi-drugresistant Organism
