摘要
目的探讨基于多学科协作(multidisciplinary collaboration,MDT)与危急值管理的防控模式降低医院多重耐药菌医院感染发生率及对抗菌药物使用合理性的影响。方法选择2021年1—12月福建省肿瘤医院收治的住院患者500例为对照组,采取常规医院管理;另选2022年1—12月福建省肿瘤医院收治的住院患者500例为观察组,采取基于多学科协作与危急值管理的防控模式。对两组多种耐药菌(multidrug-resistant organism,MDROs)检出率、医院感染发生率、医务人员感染防控执行力评分、抗菌药物使用合理性进行比较。结果观察组多重耐药菌检出率与医院感染发生率明显低于对照组(P<0.05)。观察组标准预防、手卫生、抗菌药物管理、隔离措施等评分明显高于对照组(P<0.05)。观察组抗菌药物使用合理性明显高于对照组(P<0.05)。结论基于多学科协作与危急值管理的防控模式可降低医院多重耐药菌医院感染发生率,提高医务人员防控感染执行力,也能提高抗菌药物使用合理性,值得推广。
Objective To explore the impact of a prevention and control model based on multidisciplinary collaboration(MDT)and critical value management on reducing the incidence of hospital infection with multidrug resistant bacteria and on the rationality of antibiotic use.Methods A control group of 500 inpatients admitted to Fujian Cancer Hospital from January to December 2021 was selected,and routine hospital management was adopted.Another observation group of 500 inpatients admitted to Fujian Cancer Hospital from January to December 2022 was selected,and a prevention and control model based on multidisciplinary collaboration and critical value management was adopted,The detection rate of multidrug-resistant organism(MDROs),the incidence of hospital infection,the score of infection prevention and control execution by medical personnel,and the rationality of antibiotic use were compared between the two groups.Results The detection rate of multi drug resistant bacteria and the incidence of hospital infection in the observation group were significantly lower than those in the control group(P<0.05).The scores of standard prevention,hand hygiene,antibacterial drug management,and isolation measures in the observation group were significantly higher than those in the control group(P<0.05).The rationality of antibiotic use in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The prevention and control model based on multidisciplinary collaboration and critical value management can reduce the incidence of hospital infection with multidrug resistant bacteria,improve the execution ability of medical personnel in preventing and controlling infection,and also improve the rationality of antibiotic use,which is worth promoting.
作者
林秀芳
赖凌宇
LIN Xiufang;LAI Lingyu(Infection Management Section,Clinical Oncology School of Fujian Medical University/Fujian Cancer Hospital,Fuzhou Fujian 350014,China)
出处
《中国卫生标准管理》
2023年第13期169-173,共5页
China Health Standard Management
关键词
多学科协作
危急值管理
防控模式
多重耐药菌
医院感染
抗菌药物
合理性
multi disciplinary collaboration
critical value management
prevention and control mode
multidrug resistant bacteria
hospital infection
antibacterial drugs
rationality
