OBJECTIVE To explore the application effect of transparent supervision model based on multi-department collaboration in the prevention and control of multidrug-resistant organisms (MDROs) infections in the intensive care unit (ICU), with the aim of providing reference for reducing the infection rate of MDRO.
METHODS A total of 1 354 patients admitted to the ICU from Jan. to Dec. 2022 at Fuyang People's Hospital were selected as the control group, and 1 336 patients admitted to the ICU from Jan. to Dec. 2023 were selected as the intervention group. By constructing a three-tier management organizational structure involving multiple departments and utilizing information technology to establish a transparent supervision platform, real-time monitoring, early warning and intervention of MDROs infections in ICU patients were carried out. Changes in indicators such as the MDROs infection rate, MDROs detection rate, hand hygiene implementation rate, hand hygiene accuracy rate, adenosine triphosphate (ATP) biofluorescence detection cleanliness pass rate of object surfaces, pathogenic detection rate and implementation rate of core prevention and control measures for MDROs were compared before and after the intervention.
RESULTS After intervention, the incidence rate of hospital-associated infections, the incidence rate of ventilator-associated pneumonia, the incidence rate of MDROs infections, the incidence rate of carbapenem-resistant Acinetobacter baumannii infections and the positive rate of detected specimens were 2.62%, 1.31‰, 0.97%, 0.30% and 27.66%, respectively, all of which were lower than those before intervention (P＜0.05). The hand hygiene implementation rate, the hand hygiene accuracy rate, the ATP biofluorescence detection cleanliness pass rate of object surfaces, the pathogenic detection rate before antibacterial drug treatment, the pathogenic detection rate before the combined use of key drugs, the detection rate of carbapenem-resistant Enterobacteriaceae, the detection rate of carbapenem-resistant Pseudomonas aeruginosa and the implementation rate of core prevention and control measures for MDRO were 95.86%, 94.96%, 77.78%, 91.60%, 98.29%, 47.51%, 39.37% and 95.65%, respectively, all of which were higher than those before intervention (P＜0.05).
CONCLUSIONS The application of transparent supervision model based on multi-department collaboration in the prevention and control of MDROs infections in ICU shows significant results. It effectively enhances the implementation of core prevention and control measures for MDROs and reduces the incidence rate of MDROs infections.
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