综合防控干预措施对儿科病房多重耐药菌感染的影响

Effect of Comprehensive Prevention and Control Intervention on Multidrug Resistant Bacteria Infection in Pediatric Wards

目的探讨新颁布的综合防控干预措施对儿科病房多重耐药菌感染的影响。方法将我院儿科病房2011年1至6月收治的46例多重耐药菌感染患儿进行严格实施隔离措施,建立监督和处罚制度,把"零宽容"理念应用于多重耐药菌感染的综合防控措施设为观察组;将2010年8至12月份儿科病房多重耐药菌感染的53例患儿实施常规管理的作为对照组。结果观察组明显缩短了住院时间(t=5.672,P<0.01),降低了交叉感染率(校正χ2=4.427,P<0.05)。结论实施综合防控干预措施可明显减低交叉感染,缩短住院时间,是预防医院交叉感染发生和医院感染暴发的关键。

Objective To study the effect of the new comprehensive prevention and control intervention on multidrug resistant bacteria infection in pediatric ward. Methods 45 pediatric patients with multidrug resistant bacteria infection from January to June 2011 were assigned into the observation group, which was given strict isolation measures and comprehensive prevention and control intervention with ＂zero tolerance＂ concept. A supervision and punishment system was established at the same time. Another 53 pediatric patients with multidrug resistant bacteria infection from August to December 2010 were assigned into the control group, which was given the routine management. Results The hospital stay in the observation group was significantly shorter than that in control group （t = 5.672, P 〈0.001）. The cross infection rate in the observation group was lower than that in control group （correction X2 = 4.427, P 〈0.05）. Conclusions The implementation of comprehensive prevention and control intervention is the key to preventing hospital cross infection and outbreak of nosoeomial infection, which can obviously reduce cross infection and shorten the hospital stay.