目标性监控和管理降低住院患儿多重耐药菌感染阳性率效果分析

The Effectiveness Analysis of Monitoring and Management to Reduce the MDRO Infection Positive Rate Among Hospitalized Children

目的探讨降低住院患儿多重耐药菌(MDRO)感染阳性率的措施。方法对收集的博爱医院儿科2014年1月至2016年12月住院患儿81 745例标本中检验出3 575例多重耐药菌进行目标性监控和管理。结果医院感染病例送检标本的多重耐药菌率2014年-2016年有逐年下降趋势,经卡方趋势检验差异有统计学意义(x^2=4.579,p=0.032),且近3年医院流行的多重耐药菌前6位基本一致,其排列顺序也大致相同。结论通过建立有效多重耐药菌的监控和管理措施,可以减少多重耐药菌的医院感染。

OBJECTIVE To investigate the measures to reduce the positive rate of MDRO infection in the hospitalized children. METHODS From January 2014 to December 2016,we made a monitoring and management of 3575 MDRO cases from 81745 hospitalized children. RESU LTS The number of multiple drug-resistant bacteria in hospital infection cases decreased year by year from 2014 to 2016,and the chi-square trend test was statistically significant（ X^2 =4. 579,P = 0. 032）. The prevailed nosocomial MDRO were almost the same as the first six MDROs in nosocomial infection cases,sharing similar consequences in nearly three years. CONCLU SION Through the establishment of MDRO monitoring and management measures,MDRO hospital infection could be reduced.