摘要
目的调查临床医务人员对多药耐药菌(MDROs)干预组合的执行率,有效落实多药耐药菌的预防控制措施,以降低其耐药率。方法以呼吸内科为试点,设计多药耐药菌组合干预临床依从性调查表,每日查阅医院感染实时监控软件,追踪目标监测多药耐药菌,并按调查表要求调查临床科室医务人员对组合干预的执行力,数据录入OQSS软件系统进行分析。结果 2012年9月21日-2013年3月20日呼吸内科感染患者多药耐药菌检出33株,其中ICU 24株占72.73%,普通病区9株占27.27%,临床医务人员执行组合干预执行率:ICU与普通病区开隔离医嘱分别为83.3%及22.2%,床头放置蓝色床头卡分别为83.3%、11.1%,单间隔离分别为50.0%、0,床旁放置快速手消毒液分别为100.0%、11.1%,护工知晓病区MDROs患者分别为83.3%、11.1%,护工正确配置消毒剂浓度分别为83.3%、44.4%;ICU与普通病区手卫生依从率分别为60.0%、18.8%。结论临床医务人员对多药耐药菌组合干预执行不力,呼吸内科ICU较普通病区执行力高,需要不断加强多药耐药菌临床督导工作,落实预防控制措施。
OBJECTIVE To investigate the status of implementation of combined interventions to the multidrug- resistant orgnisms （MDROs） and put forward the effective prevention and control measures so as to reduce the infection rate. METHODS Taken the respiratory medicine department as the trail spot, the questionnaires of clinical compliance of combined interventions were designed, the real-time monitoring software of nosocomial infections was reviewed, targeted tracing and monitoring of multidrug-resistant bacteria was performed, the execution power of the medical staff about the combined interventions was investigated, and the data were processed with the use of OQSS software. RESULTS A total of 33 strains of multidrug-resistant bacteria were isolated from the patients with respitatory tract infections from Sep 21, 2012 through Mar 20, 2013, among which 24 （72. 73%） strains were isolated from ICU, 9 （27. 27~~） strains from general ward. As for the implementation rate of the combined interventions, the implementation rate of the doctors~ advice was 83. 3% in ICU, 22. 2% general ward; the implementation rate of placing blue bedside card was 83.3 % in ICU, 11.1% in general ward; the implementation rate of single room isolation was 50.0% in ICU,0 in general ward; the implementation rate of placing rapid hand disinfectant at bedside was 100.0% in ICU,11.1% in general ward; the implementation rato of the nursing staff＇ awaren6ss of MDROs was 83. 3~ in ICU, 11. 1% in general ward; the implementation rate of correctly configuring the disinfectant concentration was 83. 3% in ICU, 44. 4~ in general ward } the hand hygiene compliance was 60.0% in ICU, 18.8% in general ward. CONCLUSION The combined interventions to the MDROs have not been executed by the clinical medical staff , and the implementation rate of the respiratory ICU is higher than that of the general ward, it is necessary to continuously intensify the clinical supervision and implement the prevention measures.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第20期5048-5050,共3页
Chinese Journal of Nosocomiology
基金
贵州省科技厅基金(黔科合LS字[2012]017号)
贵州省科学技术基金(gzwkj2012-1-114)
关键词
多药耐药菌
组合干预
依从性
调查
研究
Multidrug-resistant bacterial Combined interventions~ Compliancel Investigation~ Study
