组合干预对消化内科多药耐药菌感染预防控制的效果观察

Efficacy of combination intervention in prevention and control of multidrug-resistant infections in gastroenterology

目的:探讨组合干预措施对消化内科多药耐药菌感染预防控制的效果。方法:对2012年我院消化内科多药耐药菌感染情况进行回顾分析,组合干预1年后,即2014年再次对我院消化内科多药耐药菌感染情况进行调查分析。结果:与干预前比较,消化内科干预后耐药菌患者隔离率、标本送检率、医护人员预防控制措施知晓率及手卫生合格率明显上升,耐药菌检出率明显下降,以上差异具有统计学意义(P<0.05)。与干预前多药耐药菌的分布及构成比比较,消化内科干预后耐甲氧西林金黄色葡萄球菌、多药耐药鲍氏不动杆菌的分布及构成比发生了明显的下降,以上差异具有统计学意义(P<0.05)。结论:及时掌握多药耐药菌感染现状及变化趋势进行组合干预,建立以耐药菌患者隔离率、标本送检率、耐药菌检出率、医护人员预防控制措施知晓率及手卫生合格率为考察指标的组合干预措施对降低消化内科多药耐药菌感染具有重要的临床意义。

Objective： To investigate the Efficacy of combination intervention in prevention and control of multidrug-resistant infections in gastroenterology. Methods： muhidrug-resistant infection status in gastroenterology in our hospital at 2012 was retrospectively analyzed. And patients were given one year combinations intervention, and muhidrug-resistant infection status in gastroenterology in our hospital at 2014 was investigated. Results： Compared with pre-intervention, post-intervention Gastroenterology isolation rate of drug-resistant patients, specimens sent rate, health care, and health awareness of prevention and control measures in hand passing rate were significantly increased. The resistant detection rate was significantly decreased, All differences were statistically significant （P〈0.05）. Compared with pre-intervention, distribution and constitute of Staphylococcus aureus, multidrug-resistant Acinetobacter spp were significant decreased, the differences were statistically significant （P〈0.05）. Conclusion： muhidrug-resistant infections grasp the current situation and trends combined intervention, to establish the rate of drug-resistant isolate patients, specimens sent rate, the detection rate of resistant bacteria, health care and prevention and control measures for hand hygiene awareness qualified the combination index was investigated interventions to reduce multi-drug resistant infections Gastroenterology has important clinical significance.