集束干预策略在预防ICU多重耐药菌感染中的应用效果

Application effect of cluster intervention strategy in prevention of multidrug resistant organism infection in ICU

目的探讨分析集束干预策略在预防重症监护室(ICU)多重耐药菌(MDRO)感染中的应用效果。方法选取2016年7月~2018年7月我院ICU接收的的196例患者作为研究对象,按随机数字表法分为研究组和对照组,每组98例。对照组患者给予常规ICU护理,研究组患者在此基础上给予集束干预策略,比较两组患者的MDRO总感染率及转归情况、MDRO感染后每日平均费用及感染前后的住院时间、并发症发生情况。结果研究组患者的总感染率明显低于对照组,痊愈率明显高于对照组(P<0.05);研究组患者MDRO感染后的每日平均治疗费用明显低于对照组(P<0.05);研究组患者感染前的住院时间明显长于对照组,而感染后的住院时间明显短于对照组(P<0.05);研究组患者的并发症总发生率明显低于对照组(P<0.05)。结论实施集束干预策略能够有效降低ICU患者多重耐药菌感染率及病死率,减少治疗费用,缩短患者住院时间,减少并发症的发生,临床效果显著,值得临床推广应用。

Objective To investigate and analyze the application effect of cluster intervention strategy in the prevention of multi-drug resistant organism (MDRO) infection in intensive care unit (ICU).Methods A total of 196 patients who were received from intensive care unit in our hospital from July 2016 to July 2018 were selected as the research subjects.They were divided into the study group and the control group according to random number table method,98 people in each group.Among them,the control group patients were given routine intensive care unit nursing,while the study group patients were given cluster intervention strategy on this basis.The total infection rate and outcome of MDRO,the average daily cost after MDRO infection,the length of hospital stay before and after infection,and the complications occurred in the two groups were compared.Results The total infection rate of patients in the study group was significantly lower than that in the control group,the recovery rate in the study group was significantly higher than that in the control group (P<0.05).The average daily treatment cost after MDRO infection in the study group was significantly lower than that in the control group (P<0.05).Besides,the duration of hospitalization in the study group was significantly longer than that in the control group,while the length of hospitalization after infection in the study group was significantly shorter than that in the control group (P<0.05).Conclusion The implementation of cluster intervention strategy can effectively reduce the infection rate and the fatality rate of MDRO in ICU,reduce the cost of treatment,shorten the hospitalization time of patients,reduce the occurrence of complications and with obvious clinical effects,which is worthy of clinical promotion and application.