综合干预措施降低多重耐药菌感染研究
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钟爱玉

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R181.3+2

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Comprehensive intervention in reducing multidrugresistant organism infection
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    摘要:

    目的调查某院多重耐药菌(MDRO)感染现状,探讨预防和控制MDRO医院感染的管理对策。方法进行MDRO感染监测,分析感染环节因素并采样验证,研究管理对策,实施过程干预。结果该院2010年7月—2011年11月收治住院患者17 240例,检出MDRO感染213例(1.23%),感染部位以呼吸道(108例,50.70%)和泌尿道(53例,24.88%)为主。干预前(2010年7—12月)MDRO感染率为1.49%(93/6 256),干预后(2011年1—11月)下降至1.09%(120/10 984)(χ2=5.07,P=0.02)。干预后多重耐药的铜绿假单胞菌在病原菌的构成比由22.58%下降至10.83%;感染部位中,呼吸道感染构成比由59.14%下降至44.17%;在感染发生的科室中,重症监护室和肿瘤内科的MDRO感染率明显下降(分别为49.02% vs 28.44%,χ2=6.47,P=0.01;3.72% vs 1.21%,χ2=5.04, P=0.03)。 结论准确、及时获取信息并及早干预,提高手卫生依从性,强化MDRO感染知识培训,严格执行消毒隔离制度,加强护工及陪护管理,合理使用抗菌药物,可以有效预防和控制MDRO感染。

    Abstract:

    ObjectiveTo investigate the current status of multidrugresistant organism (MDRO) infection in a hospital, and evaluate intervention strategies in prevention and control of MDRO infection.MethodsMonitor on MDRD infection was conducted, infectionrelated factors were analyzed, administration strategies were put forward, and intervention was implemented.ResultsFrom July 2010 to November 2011, 17 240 patients were admitted in this hospital, 213(1.23%) cases of MDRO infection developed, the major infection sites were respiratory tract (108 cases, 50.70%) and urinary tract (53 cases, 24.88%). MDRO infection rate dropped from 1.49% (93/6 256) before intervention (JulyDecember, 2010) to 1.09%(120/10 984) after intervention (JanuaryNovember, 2011) (χ2=5.07, P=0.02), and constituent ratio of multidrugresistant Pseudomonas aeruginosa dropped from 22.58% to 10.83%; constituent ratio of respiratory tract infection dropped from 59.14% to 44.17%; MDRO infection rate in intensive care unit and tumor internal medicine department dropped significantly (49.02% vs 28.44%, χ2=6.47, P=0.01; 3.72% vs 1.21%, χ2=5.04, P=0.03).ConclusionEffective prevention and control of MDRO infection can be achieved through accurate and timely obtaining information, improving hand hygiene compliance, strengthening training on MDRO infection knowledge, implementing strict disinfection and isolation measures, strengthening nursing care, and using antimicrobial agents rationally.

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钟爱玉,戴鋆,方咏梅.综合干预措施降低多重耐药菌感染研究[J]. 中国感染控制杂志,2012,11(4):287-289.
ZHONG Aiyu, DAI Jun, FANG Yongmei. Comprehensive intervention in reducing multidrugresistant organism infection[J]. Chin J Infect Control, 2012,11(4):287-289.

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  • 收稿日期:2012-01-18
  • 最后修改日期:2012-03-22
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  • 在线发布日期: 2012-09-30
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