零缺陷管理在多药耐药菌预防控制中的效果评价

Effect of zero defect management on prevention and control of multidrug-resistant bacteria

目的评价零缺陷管理对多药耐药菌(MDROs)的预防控制效果,为做好MDROs感染预防控制工作提供参考。方法对2014年1月-2015年12月医院住院患者的MDRO检出情况进行监测,2014年1月-12月未采取零缺陷管理阶段,696例患者检出MDROs,2015年1月-12月为零缺陷管理阶段,655例患者检出MDROs,比较管理前后MDROs检出率、感染率和预防控制措施的执行率。结果 MDROs检出率、感染率和日感染率分别由管理前的38.88%、0.34%和0.37‰下降至管理后的36.95%、0.19%和0.23‰,管理前后MDROs感染率和日感染率差异均有统计学意义(P<0.05)。结论零缺陷管理能提高临床医护人员对MDROs预防控制措施的执行力,有效降低MDROs医院感染率。

OBJECTIVE To evaluate the effect of zero defect management on prevention and control of multidrug‐re‐sistant organisms （MDROs） so as to provide guidance for prevention and control of MDROs infections .METHODS The MDROs that were isolated from the patients who were hospitalized from Jan 2014 to Dec 2015 were moni‐tored .The zero defect management was not carried out from Jan 2014 to Dec 2014 ,and the MDROs were detected in 696 patients;the zero defect management was conducted from Jan 2015 to Dec 2015 ,and the MDROs were de‐tected in 655 patients .The detection rate of MDROs ,infection rate ,and rate of implementation of control meas‐ures were observed and compared before and after the management .RESULTS The detection rate of MDROs ,in‐fection rate ,and daily infection rate respectively dropped from 38 .88% ,0 .34% ,and 0 .37‰ before the manage‐ment to 36 .95% ,0 .19% ,and 0 .23‰ after the management ;there was significant difference in the incidence of MDROs infections or the daily infection rate before and after the management .CONCLUSION The zero defect man‐agement can improve the clinical health care workers＇execution power of the control measures and effectively re‐duce the incidence of MDROs infections .