集束化干预联合闭环管理对ICU多重耐药菌感染的防控效果

Application of bundled intervention combined with closed-loop management in prevention and control of multi-drug resistance bacterial infections in ICU

目的探讨集束化干预策略联合闭环管理模式对ICU多重耐药菌感染的防控效果。方法选取2020年1~12月EICU住院患者275例作为对照组,实施常规管理;2021年1~10月EICU住院患者239例作为观察组,在常规管理基础上实施集束化干预策略联合闭环管理。结果实施后,观察组多重耐药菌感染发生率明显低于对照组;患者住院日显著低于对照组,4项护理措施执行率(隔离标识、手卫生、环境消毒、医务人员相关知识知晓)、病原学送检率显著高于对照组(均P<0.05)。结论集束化干预联合信息化闭环管理可有效降低EICU多重耐药菌感染发生率。

Objective To explore the effect of applying bundled intervention combined with closed-loop management in prevention and control of multi-drug resistance bacterial infections(MDRBI)in ICU.Methods A total of 275 EICU patients hospitalized from January to December 2020 were seen as the control group,who received routine management.Another 239 EICU patients hospita-lized from January to October 2021 were assigned into the intervention group,who was subjected to bundled intervention combined with closed-loop management for prevention and control of MDRBI.Results After implementation of bundled intervention combined with closed-loop management,the intervention group had conspicuously lower incidence rate of MDRBI,and significantly shorter hospital stay,than the control group;the implementation rates of 4 nursing indexes(usage of isolation signs,hand hygiene,environmental disinfection,medical staffers′knowledge level of MDRBI),and the rate of etiology examination were significantly higher in the intervention group than those in the control group(P<0.05 for all).Conclusion Application of bundled intervention combined with closed-loop management lowers incidence rate of MDRBI in ICU.