线上线下沉浸式督导提高抗菌药物治疗前病原学送检率的效果

Effectiveness of on-line and off-line immersion supervision for the improvement of the rate of antimicrobial pre-treatment pathogenetic delivery

目的验证运用线上线下沉浸式督导提高抗菌药物治疗前病原学送检率的效果。方法于2022年1月开始实施线上线下沉浸式督导模式提高抗菌药物治疗前病原学送检率专项行动,调查2021年、2022年和2023年三个阶段的送检率相关数据进行比较。结果实施线上线下沉浸式督导后,抗菌药物治疗前病原学送检率、联合使用重点药物前病原学送检率、医院感染诊断相关病原学送检率、血、尿、痰培养标本送检率、指向性和非指向性病原学送检率督导前分别为25.03%、12.91%、69.80%、11.81%、3.31%、9.85%、22.84%、3.79%,督导后第1年和督导后第2年分别提升至62.95%、32.84%、92.96%、13.58%、4.12%、11.73%、42.07%、47.00%和72.34%、86.31%、94.67%、14.53%、4.52%、20.50%、52.36%、55.31%,差异均有统计学意义(P<0.05)。结论应用线上线下沉浸式督导模式,借助信息化平台,实时监测科室送检情况,能有效提高住院患者抗菌药物治疗前病原学送检率,对规范抗菌药物合理使用有实践意义。

OBJECTIVE To validate the effectiveness of using on-line and off-line immersion supervision to improve the rate of antimicrobial pre-treatment pathogenetic delivery.METHODS In Jan.2022,a special initiative to improve the rates of antimicrobial pre-treatment pathogenetic delivery by implementing an online and offline immersion supervision model was started.The data related to the delivery rate in the three phases of the survey,2021,2022 and 2023,were compared.RESULTS After the implementation of online-offline immersive supervision,the rates of antimicrobial drug pre-treatment pathogenicity delivery,combined use of key drugs pre-pathogenicity delivery,hospital infection diagnosis-related pathogenicity delivery,blood,urine and sputum culture specimen delivery,directed and non-directed pathogenicity delivery were 25.03%,12.91%,69.80%,11.81%,3.31%,9.85%,22.84%,and 3.79%,respectively,before supervision,and increased to 62.95%,32.84%,92.96%,13.58%,4.12%,11.73%,42.07%,47.00%and72.34%,86.31%,94.67%,14.53%,4.52%,20.50%,52.36%,55.31%,respectively,in the first year and the second year post supervision,and the difference was statistically significant(P<0.05).CONCLUSION The application of on-line and off-line immersive supervision mode,with the help of information technology platform,real-time monitoring of departmental delivery,could effectively improve the rate of inpatient antimicrobial drug pretreatment pathogenicity delivery,which was of practical significance for the standardization of the rational use of antibacterial drugs.