结核病患者多耐药菌感染的预防与隔离

Prevention and quarantine of MDRO infections in TB patients

目的了解2011年3月-2013年3月医院结核病患者多药耐药菌(MDROs)感染的预防及隔离状况,为提高医院感染控制质量提供参考方案。方法对医院医务人员、检出MDROs感染的结核病住院患者相关知识及预防与隔离进行现场调查问卷,并调查预防隔离措施实施前后消毒隔离质量管理状况,对所有数据应用SPSS13.0进行统计分析。结果医师、护理人员及患者的MDROs感染相关知识知晓率分别为100.0%、75.0%、2.0%,知晓率对比,差异有统计学意义(P<0.05);医师手卫生正确率、依从率均高于护理人员,分别为85.00%、50.00%和60.00%、30.00%,差异有统计学意义(P<0.05);预防隔离措施后与实施前在医务人员管理、环境管理、医疗器械与用品管理的总质量评分对比,差异均有统计学意义(P<0.05)。结论医院结核病患者MDROs感染相关知识较缺乏,医护人员预防隔离措施的实施质量有待提高。

OBJECTIVE To understand the prevention and quarantine status of MDRO infections in tuberculosis（TB）patients,so as to provide a reference for the improvement of control quality of nosocomial infections.METHODS The questionnaire survey and field survey were adopted to understand the relevant knowledge and awareness of prevention and quarantine of MDRO infections among medical staff and TB patients infected with MDROs in our hospital.The status of quality management of disinfection was surveyed before and after the prevention and quarantine.RESULTS The difference in the related knowledge awareness rate of MDROs in the doctors,nurses and patients was significant（P〈0.05）,the related knowledge awareness rate of MDROs in the doctors was the highest（100.00%）,followed by nurses（75.00%）,while the related knowledge awareness rate of MDROs of patients was the lowest（2.00%）.The rates of correctness and compliance of hand hygiene of doctors were respectively higher than those of nurses 85.00% vs 50.00%;60.00% vs 30.00%,the difference was significant（P〈0.05）.The differences in medical personnel management,environmental management,medical equipment and supplies management and total quality score before and after the prevention and quarantine were significant（P〈0.05）.CONCLUSION The related knowledge of MDROs in TB patients in our hospital is insufficient,and the implementation quality of the prevention and quarantine in medical staff needs to be improved.