多药耐药结核病的医院感染管理

Management of Hospital Infection of MDR-TB

目的探讨有效的多药耐药结核病（MDR-TB）的医院感染管理。方法加强组织领导,建立院、科两级专项医院感染管理体系,完善制度,明确职责,优化流程,落实早期发现、隔离技术、空气消毒、健康教育、知识培训等重要措施。结果 2006-2008年,全院无MDR-TB医院感染发生,科室医院感染率也由6.10%下降至3.28%。结论在实施综合管理的基础上,突出重点环节管理对控制MDR-TB的医院感染具有决定作用。

OBJECTIVE To explore an effective management system of hospital infection for multidrug-resistant tuberculosis（MDR-TB）.METHODS The important measures were taken enhance the organization and leadership,to establish a management system,especially on hospital level and department level;to improve the regulation;to further clarify duties and responsibilities;and to implement such key procedures as early identification,isolation technique,air sterilization,health education and knowledge training.RESULTS From 2005 to 2008,no hospital infections due to MDR-TB were ever occurred.The hospital infection rate of departments and divisions had dropped from 6.10% to 3.28%.CONCLUSIONS On the basis of the implementation of comprehensive management,the emphasis on the management of crucial links plays a decisive role in controlling the hospital infections due to MDR-TB.