多部门协作控制多重耐药菌医院感染的研究

Multi-sectoral collaboration control of nosocomial infections caused by multidrug-resistant organisms

目的探讨多部门协作控制多重耐药菌传播机制,提高多重耐药菌感染防控水平。方法成立多部门协作多重耐药菌感染管理小组,制定、完善制度流程,明确各部门职责任务,开展多重耐药菌目标监测;采用个案追踪法对多重耐药菌感染患者就诊全过程进行追踪,发现问题,以问题为切入点按既定系统评价要素(阶段计划、培训教育、督导执行、项目监测、沟通反馈、改进论证)进行系统追踪;召开联席会议,分析系统运行优势、风险点,确定要解决的问题、潜在关注项目。结果多重耐药菌防控措施落实到位,抗菌药物使用前病原学送检率由实施前14.75%上升到22.47%(P<0.05),多重耐药菌检出率由32.96%下降至26.63%(P<0.05)。结论以多重耐药菌目标监测为基础,采取多部门协作管理机制,跟踪检查系统运行的有效性、连贯性,降低了多重耐药菌感染率,提高了多重耐药菌感染防控水平。

Objective To investigate the multi-sectoral collaboration control mechanism of multidrug-resistant organisms(MDROs) spread,improve the level of prevention and control of multidrug-resistant organisms infection.Methods To establish the management team of multi sectoral collaboration of multidrug-resistant organisms infection,develop and improve the system process,clear responsibilities of various departments to carry out the task,we started multiple drug resistant target monitoring by using case tracing method for the whole treatment process of patients with multidrug-resistant organisms infection to find the question.Using the question as a pointcut to process the tracing system according to the established evaluation factors including stage plan,training and education,supervise the execution,project monitoring and communication to feedback and improve the appraisal system by a joint meeting to analysis of advantages and risks,and problems needed to be solved.Results Multidrug-resistant organisms prevention and control measures put in place,before the use of antibacterial drugs,the pathogenic detection rate rised from 14.75%up to 22.47%(P<0.05),multidrug-resistant organisms detection rate reduced from 32.96%to 26.63%(P<0.05).Conclusion The multiple antibiotic resistant bacteria target monitoring as the basis,take the mechanism of collaboration management,tracking and inspecting system effectiveness and coherence com reduce multidrug-resistant organisms infection rate to improve the level of prevention and control of.multidrug-resistant organisms infection.