关口前移管理模式在基层医院多重耐药菌防控中的作用

Effect of Management Forward Mode on Prevention and Control of Multi-Drug Resistant Bacteria in Primary Hospital

目的探讨关口前移管理模式对降低基层医院多重耐药菌(Multiple Resistant Bacteria,MDRO)医院感染的效果。方法将我院病区随机分为实验组和对照组,在2015年和2016年上半年实验组实施关口前移的MDRO防控管理模式,对照组采用公认、规范的多重耐药菌防控的管理方法。比较两组实施后的防控效果,收集手卫生依从性、感控知识掌握程度及MDRO感染率相关数据进行统计。结果两组在标本送检、防控措施落实情况及MDRO感染例数等方面存在差异性(P<0.001),实验组感控效果优于对照组。结论关口前移管理模式能把医院MDRO感染的危险因素从源头堵截,降低院内感染率,提高多重耐药防控的管理水平,提高医疗质量安全。

Objective To explore the effect of management forward mode in terms of reducing the infection of multi - drug resistant bacteria （ MDRO） in primary hospitals. Methods The hospital wards were randomly divided into experimental group and control group. From 2015 to the first half of 2016 , management forward mode of MDRO was implemented in the ex-perimental group, while standard management method of prevention and control of multi - resistant bacteria was used in the control group. The prevention and control effect was compared after the implementation, data of hand hygiene compliance, sense of control knowledge and MDRO infection rates were collected. Results The two groups were significantly different in the samples, the experimental group was significantly better than the control group in terms of the control measures, MDRO infection number and collection and sending of specimens for testing （P 〈0. 001） . Conclusion MDRO management forward mode can cut the risk of MDRO infection from the beginning, reduce the nosocomial infection rate, improve the management level of prevention and control of multiple drug resistance, and improve medical security.