摘要
对目前通行的《医院感染管理手册》进行改良，医护分别制订并实施监管，比较手册改良前后耐药菌知识考核合格率、手卫生执行率、医护人员手监测合格率、消毒效果（物表）监测合格率、MDROs构成比、医院感染率。以2012-2015年各年度数据相比较，耐药菌知识考核合格率（χ^2=209．496，P〈0．001）、手卫生执行率（χ^2=158．561，P〈0．001）、医护人员手监测合格率（χ^2=23．229，P〈0．001）、物体表面消毒效果监测合格率（zz=158．561，P〈0．001）均有显著上升。MDROs医院感染构成比改良后6．03％较在《医院感染管理手册》改良前MDROs医院感染构成比13．98％显著降低（χ^2=18．141，P〈0．001）。MDROs院内感染率0．07％较未改良之前MDROs院内感染率0．34％显著下降（χ^2=59．165，P〈0．001）。由此说明以《医院感染管理手册》医护分册管理为主实施医护分类管理模式对提高了医护人员对医院感染的警觉性和自觉性，降低了院内多药感染具有显著的作用。
To improving ＂The Handbook of Nosocomial Infections Management＂, We divided this handbook into doctor＇s vol ume and nurse＇s volume, to comparison of manual modified resistant knowledge examination pass rate, the implementation rate of hand hygiene of medical staff hand, monitoring qualified rate, disinfection effect, the qualified rate of MDROs, the hospital infection rate between two parts. The annual data of 2012-2015 were compared, the resistant knowledge examination pass rate （χ^2=209.496, P 〈 0.001 ）, hand hygiene rates （χ^2= 158.561, P 〈 0.001 ）, hand monitoring staff qualification rate（χ^2= 23.229, P 〈 0.001 ）, monitoring the surface disinfection effect rate （χ^2= 158.561, P 〈 0.001 ） have increased significantly. The proportion of nosocomial infection in MDROs was 6.03%, was significantly lower than before the improvement of nosocomial infection management manual 13.98%, （χ^2=18.141, P 〈 0.001）. MDROs nosocomial infection rate was significantly decreased than before the improvement, 0.07% and 0.34% respectively （χ^2= 59.165, P 〈 0.001 ）. This indicates that the implementation of medical classification management mode based on the management of The Handbook of Nosocomial Infections Management medical has great improving the alertness and consciousness of hospital staff and reducing the infection of muhidrug-resistant bacteria in hospital.
作者
程芬兰
Chen Fenglan(Qinghai Province Cardio-Cerebral-Vascular Specialist Hospital, Xining 810012, Qinghai, China)
出处
《医院与医学》
2018年第1期60-63,共4页
Hospital and Medicine
关键词
医院感染管理手册
改良
多重耐药菌
管理
Handbook of Nosocomial Infections Management
Improvement
Multidrug resistant bacteria
Management
