综合干预措施对新生儿多药耐药菌感染的影响

Effect of comprehensive interventions on multidrug-resistant organisms infections in neonates

  • 摘要: 目的 分析综合干预措施对新生儿多药耐药菌(MDRO)感染发生状况的影响。方法 采用回顾性调查,收集干预前医院新生儿病房2014年1月1日-6月30日住院患者多药耐药菌感染资料,2014年7月1日-2015年6月30日开展综合干预,比较干预前后MDRO感染率、检出率的变化。结果 综合干预后,多药耐药菌感染隔离率从68.66%升至97.80%(P<0.05); 手卫生依从率从70.25%升至89.50%(P<0.05); MDRO感染发生率从4.60%降至3.38%(P<0.05),检出率从33.50%降至22.03%(P<0.05)。结论 开具接触隔离医嘱、实施监督、考核,提高手卫生依从率等综合干预措施,能有效减少MDRO感染的发生。

     

    Abstract: OBJECTIVE To observe the influence of comprehensive intervention measures on incidence of multidrug-resistant organisms (MDROs) infections in neonates. METHODS By means of retrospective survey, the data were collected from the patients who were hospitalized neonatal wards from Jan 1, 2014 to Jun 30, 2014, then the comprehensive intervention was conducted from Jul 1, 2014 to Jun 30, 2015, and the incidence of MDROs infections and the isolation rates were observed and compared before and after the intervention. RESULTS The separation rate of MDROs infections increased from 68.66% to 97.80% after the comprehensive intervention (P<0.05); the hand hygiene compliance rate increased from 70.25% to 89.50% (P<0.05); the incidence of MDROs infections dropped from 4.60% to 3.38%(P<0.05); the isolation rate decreased from 33.50% to 22.03% (P<0.05). CONCLUSION It is an effective way to take the comprehensive interventions such as issuing the medical advice of contact and isolation, conducting supervision and assessment, and improving the hand hygiene compliance rate so as to reduce the incidence of MDROs infections.

     

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