ICU感染控制专职护士在多药耐药菌管理中的作用研究

Effect of full-time nurses for ICU infection control on management of mutidrug-resistant organisms

目的探讨医院ICU设置感染控制专职护士在多药耐药菌(MDROs)管理中的作用,为降低医院感染提供理论指导与依据。方法选取2013年11月-2014年10月于ICU住院治疗的患者450例为对照组,由常规护士进行护理,选择2014年11月-2015年10月于ICU住院的患者462例为试验组,由感染控制专职护士进行护理;分析两组患者临床资料,比较MDROs发现数及每千住院日新发分离量;采用SPSS16.0软件进行统计分析。结果试验组462例患者中发现MDROs感染22例,对照组450例患者发现MDROs感染28例,试验组明显低于对照组,两组比较差异有统计学意义(P<0.05);试验组患者MDROs每千住院日新发分离量为11.3%,对照组为18.2%,两组比较差异有统计学意义(P<0.05)。结论 ICU成立感染控制专职护士十分必要,通过培训及严格监督加强对MDROs的管理,可有效降低MDROs的感染率,落实隔离从而进一步减少MDROs的交叉感染率,临床意义突出,值得推广与使用。

OBJECTIVE To explore the role of full-time nurses for ICU infection control in management of multidrug-resistant organisms（MDROs）so as to provide theoretical basis for reduction of incidence of nosocomial infections.METHODS A total of 450 patients who were hospitalized the ICU from Nov 2013 to Oct 2014 were chosen as the control group and received the conventional care,and 462 patients who were hospitalized the ICU from Nov2014 to Oct 2015 were set as the test group and were taken care by full-time nurses for infection control.The clinical data of the two groups of patients were analyzed,the counts of MDROs and newly isolated amount per thousand hospitalization days were observed and compared,and the statistical analysis was performed with the use of SPSS16.0software.RESULTS The MDROs were detected positive in 22 of 462patients in the test group,while the MDROs were detected positive in 28 of 450patients in the control group,the positive rate of the test group was significantly lower than that of the control group（P〈0.05）.The newly isolated amount per thousand hospitalization days was 11.3%in the test group,18.2%in the control group,and there was significant difference between the two groups（P〈0.05）.CONCLUSIONIt is necessary to set up the full-time nurses for ICU infection control,strengthen the management of MDROs through training and rigid supervision to effectively reduce the incidence of MDROs infections,and implement the isolation measures to further reduce the incidence of cross infection of MDROs,which has great clinical significance and is worthy to be promoted.