信息提醒系统联合多部门协同模式下多重耐药菌管理实践
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R181.3+2

基金项目:

中华预防医学会医院感染控制分会医院感染学科发展青年人才托举项目(CPMA-HAIC-2024012900113)


Practice of multidrug-resistant organism management under the mode of information reminder system combined with multidisciplinary collaboration
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的 探讨以数据共享为导向构建多重耐药菌(MDRO)信息化提醒系统联合多部门标准化举措在MDRO全流程闭环管理中的应用效果。方法 选取2024年1月1日—7月31日检出MDRO的住院患者为对照组,2024年8月1日—2025年5月31日为干预组。对照组采用传统人工MDRO报告模式,干预组采用MDRO提醒系统联合多部门管理模式。比较系统应用前后MDRO隔离医嘱下达率、多部门专科过程指标和结局指标的差异。结果 应用信息化提醒系统联合多部门举措后,≤24 h MDRO隔离医嘱下达率干预组较对照组提高(90.20% VS 65.23%,P<0.05),其中<4 h MDRO隔离医嘱下达率干预组较对照组提高(80.64% VS 55.08%,P<0.001)。干预组抗菌药物使用率低于对照组(36.27% VS 43.41%),差异具有统计学意义(P<0.05)。干预组MDRO防控措施执行率、病原学送检率、荧光标记清除率均高于对照组,差异均有统计学意义(均P<0.05)。MDRO检出率较对照组下降(10.83% VS 16.49%),且干预组MDRO医院感染发病率(0.09%)低于对照组(0.19%),差异均有统计学意义(均P<0.001)。干预组治疗费用较对照组减少27 422元。结论 本研究搭建了MDRO提醒系统,实现多部门MDRO信息交互平台的全链条监测体系,强化多学科深部融合,提升了MDRO防控效果。

    Abstract:

    Objective To explore the application effect of constructing a data sharing-based multidrug-resistant organism (MDRO) information reminder system combined with multidisciplinary standardized measures on the whole-process closed-loop management of MDRO. Methods Hospitalized patients from whom MDRO were detected from January 1 to July 31, 2024 were taken as the control group, those from August 1, 2024, to May 31, 2025 were as the intervention group. The control group adopted the traditional manual reporting mode for MDRO, while the intervention group adopted the combination of MDRO reminder system and multidisciplinary management mode. Differences in isolation order issuing rate for MDRO and process- and outcome-indicators for multidisciplinary specialty before and after system implementation were compared. Results After implementing information reminder system combined with multidisciplinary measures, issuing rates of ≤24 hour and <4 hour MDRO isolation orders in the intervention group were both higher than in the control group ([90.20% vs 65.23%, P<0.05],[80.64% vs 55.08%, P<0.001], respectively). Antimicrobial use rate in the intervention group was lower than in the control group (36.27% vs 43.41%), with a statistically significant difference (P<0.05). The implementation rates of MDRO prevention and control measures, pathogen detection rates, and fluorescence labeling clearance rates in the intervention group were all higher than those in the control group, all with statistically significant differences (all P<0.05). The detection rate of MDRO decreased compared with the control group (10.83% vs 16.49%), and the incidence of MDRO healthcare-associated infection in the intervention group was lower than that in the control group (0.09% vs 0.19%), both with statistically significant differences (both P<0.001). The treatment expense in the intervention group reduced by 27 422 Yuan compared with the control group. Conclusion This study constructed an MDRO reminder system, realized full-chain monitoring system for the multidisciplinary MDRO information interaction platform, strengthened multidisciplinary in-depth integration, and improved the prevention and control effect for MDRO.

    参考文献
    相似文献
引用本文

覃莉媛,周盛斌,劳秋凤,等.信息提醒系统联合多部门协同模式下多重耐药菌管理实践[J]. 中国感染控制杂志,2025,24(11):1641-1646. DOI:10.12138/j. issn.1671-9638.20252757.
QIN Liyuan, ZHOU Shengbin, LAO Qiufeng, et al. Practice of multidrug-resistant organism management under the mode of information reminder system combined with multidisciplinary collaboration[J]. Chin J Infect Control, 2025,24(11):1641-1646. DOI:10.12138/j. issn.1671-9638.20252757.

复制
分享
文章指标
  • 摘要阅读次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2025-07-11
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2025-11-29
  • 出版日期: