综合管理干预策略对外科住院患者多重耐药菌医院感染发生的影响

Effect of comprehensive management intervention strategy on nosocomial infection of multidrug resistant organism in hospitalized patients

目的探讨综合管理干预策略对外科住院患者多重耐药菌(MDRO)医院感染发生的影响。方法选取2019年1月至2021年10月于盐城市第三人民医院外科住院的14402例患者为研究对象,将2019年1月至2020年5月实施常规管理期间收治的6810例患者为对照组,将2020年6月至2021年10月实施综合管理干预策略期间收治的7592例患者为观察组。比较两组患者MDRO检出率及医院感染情况、医护人员对各项防控措施依从率。结果两组患者MDRO在特定菌中的检出率比较,差异无统计学意义(P>0.05)。观察组MDRO医院感染率低于对照组,医护人员对各项防控措施的依从率均高于对照组,差异有统计学意义(P<0.05)。结论综合管理干预策略的实施有利于提高医护人员对医院感染防控措施的依从率,降低MDRO感染发生风险。

Objective To explore the effect of comprehensive management intervention strategy on nosocomial infection of multidrug resistant organism(MDRO)in hospitalized patients.Methods A total of 14402 patients hospitalized in the Department of Surgery of Yancheng Third People′s Hospital from January 2019 to October 2021 were selected as the research objects,6810 patients treated during the implementation of routine management from January 2019 to May 2020 as the control group,and 7592 patients treated during the implementation of comprehensive management intervention strategy from June 2020 to October 2021 as the observation group.The detection rate of MDRO,nosocomial infection,the compliance rate of medical staff to various prevention and control measures were compared between the two groups.Results There was no significant difference in the detection rate of MDRO in specific bacteria between the two groups(P>0.05).The hospital infection rate of MDRO in the observation group was lower than that in the control group,and the compliance rate of medical staff to various prevention and control measures was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The implementation of comprehensive management intervention strategy is conducive to improve the compliance rate of medical staff with nosocomial infection prevention and control measures and reduce the risk of MDRO infection.