某三甲医院多重耐药菌感染现状及集束干预效果
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张辉文

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R181.3+2

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Current situation of multidrugresistant organism infection and efficacy of bundle intervention measures in a tertiary firstclass hospital
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    摘要:

    目的了解某三甲医院住院患者多重耐药菌(MDRO)感染现状,以及集束干预措施的防控效果。方法对2012—2014年该院发生MDRO感染的住院患者进行重点监测及集束干预。结果2012—2014年共检出MDRO 1 909株。2012—2014年MDRO检出率分别为30.69%、31.04%、29.40%,床旁干预率分别为81.02%、92.05%、94.23%,临床隔离落实率分别为69.97%、82.98%、93.04%;2012—2014年MDRO检出率比较,差异无统计学意义(P>0.05);MDRO床旁干预率、临床隔离落实率比较,差异均具有统计学意义(均P<0.05)。2012—2014年MDRO居前3位的分别为产超广谱β内酰胺酶大肠埃希菌(ESBLsEC)、多重耐药鲍曼不动杆菌(MDRAB)、产超广谱β内酰胺酶肺炎克雷伯菌(ESBLsKP)。结论通过多部门联动及强化现场督查等集束干预模式,促使MDRO医院感染管理更加规范,临床隔离落实率不断提高,有效预防和控制了MDRO在医院的传播。

    Abstract:

    ObjectiveTo understand the current situation of multidrugresistant organism (MDRO) infection in hospitalized patients in a tertiary firstclass hospital, as well as efficacy of bundle intervention measures on prevention and control of infection. MethodsHospitalized patients who were infected with MDROs in this hospital during 2012-2014 were monitored and conducted bundle intervention. ResultsIn 2012-2014, a total of 1 909 MDRO strains were isolated. The isolation rates of MDROs in 2012-2014 were 30.69%, 31.04%, and 29.40% respectively,bedside intervention rates were 81.02%, 92.05%, and 94.23% respectively,implementation rates of clinical isolation were 69.97%, 82.98%, and 93.04% respectively; MDRO isolation rates during 2012-2014 were not significantly different(P>0.05);bedside intervention rates and implementation rates of clinical isolation were both significantly different(both P<0.05). The top 3 isolated MDROs in 2012-2014 were extendedspectrum βlactamases(ESBLs)producing Escherichia coli, multidrugresistant Acinetobacter baumannii, and ESBLsproducing Klebsiella pneumoniae. ConclusionBundle intervention measures, such as multidepartment collaboration and strengthened onsite supervision, can promote more standardized management of healthcareassociated infection, enhance the implementation rate of clinical isolation, and effectively prevent and control the spread of MDRO in hospital.

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张萌,张辉文.某三甲医院多重耐药菌感染现状及集束干预效果[J]. 中国感染控制杂志,2017,16(2):169-172. DOI:10.3969/j. issn.1671-9638.2017.02.016.
ZHANG Meng, ZHANG Huiwen. Current situation of multidrugresistant organism infection and efficacy of bundle intervention measures in a tertiary firstclass hospital[J]. Chin J Infect Control, 2017,16(2):169-172. DOI:10.3969/j. issn.1671-9638.2017.02.016.

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  • 收稿日期:2016-04-12
  • 最后修改日期:2016-08-12
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  • 在线发布日期: 2017-02-28
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