某医院多学科协作对提高多重耐药菌感染防控效果的影响

Effect of Multidisciplinary Team on Improving The Prevention And Control of Multidrug-resistant Organisms Infection

目的:探究医院多学科协作(multidisciplinary team,MDT)对提高多重耐药菌(multidrug-resistant organisms,MDROs)感染防控效果的影响。方法:选取医院2019年1月-12月实施常规管理的1 946例住院患者临床资料作为协作前组,另选取2020年1月-12月行MDT管理的1 947例住院患者临床资料作为协作后组;比较多学科协作前后MDROs防控落实效果、医院MDROs感染检出率的差异。结果:干预1月后,协作后组住院患者中临床用诊疗器械的消毒、环境消毒和手部卫生规范落实率,以及患者物品专用各项防控措施落实率均高于协作前组(P<0.05);医院MDROs感染检出率低于协作前组(P<0.05)。结论:采用MDT管理促使防控措施有效落实,有效提高了对MDROs感染防控效果,医院MDROs感染得到有效遏制。

Objective: To explore the effect of multidisciplinary team(MDT) on improving the prevention and control of multidrug-resistant organisms(MDROs) infection. Methods: The clinical data of 1 946 in-patients who underwent routine management from January to December 2019 were selected as the pre-collaboration group, and the clinical data of 1 947 in-patients who underwent MDT management from January to December 2020 were selected as the postcollaboration group. The differences in the implementation effect of MDROs prevention and control and the detection rate of hospital MDROs infection before and after multidisciplinary collaboration were compared. Results: After 1 month of intervention, the implementation rates of clinical equipment disinfection, environmental disinfection and hand hygiene standards, as well as the implementation rate of patient-specific prevention and control measures in the cooperative group were higher than those in the cooperative group(P<0.05). The detection rates of MDROs infection were lower than those of the group before collaboration(P<0.05). Conclusion: MDT promotes the effective implementation of prevention and control measures, effectively improves the prevention and control effect of MDROs infection, and effectively contains MDROs infection in the hospital.