集束化干预对重症监护病房多重耐药鲍曼不动杆菌感染的防控效果

Analysis on effect of bundle of intervention for infection of multidrug resistant Acinetobacter baumannii in ICU

目的研究集束化干预措施对重症监护病房(ICU)多重耐药鲍曼不动杆菌(MDR-AB)感染的防控效果。方法采用回顾性调查方法,对某医院ICU实施集束化干预措施前后MDR-AB感染情况进行对比分析。结果针对危险因素制定的集束化干预措施的应用产生了明显效果。MDR-AB感染患者占医院感染数由13.64%下降到8.64%;送检病原学标本中MDR-AB株检出率明显下降。结论实施以循证理论为基础的集束化干预可有效降低ICU多重耐药菌鲍曼不动杆菌感染率,防控效果可靠。

Objective To explore the effect of bundle of intervention for infection of muhi - resistant Acinetobacter bau- mannii in ICU. Methods The retrospective survey method was adopted to analyze patients suffered multi - resistant Acine- tobacter baumannii infection before and after the intervention measures in ICU of a hospital. Results The bundle of inter- vention measures for risk factors had a notable effect. The incidence rate of multi - resistant Acinetobacter baumannii infec- tion was decreased from 13.64% to 8.64%. The multi - resistant Acinetobacter baumannii detection rate examined declined obviously. Conclusion The implementation based on the theory of evidence - based intervention in ICU can effectively re- duce multi - resistant Acinetobacter baumannii infection rate, and the effect of prevention and control measures is reliable.