ICU感染控制专职护士在多药耐药菌管理中的作用研究

发布时间：2018-04-03 08:35

本文选题：重症监护病房　切入点：感染控制　出处：《中华医院感染学杂志》2016年10期

【摘要】：目的探讨医院ICU设置感染控制专职护士在多药耐药菌(MDROs)管理中的作用,为降低医院感染提供理论指导与依据。方法选取2013年11月-2014年10月于ICU住院治疗的患者450例为对照组,由常规护士进行护理,选择2014年11月-2015年10月于ICU住院的患者462例为试验组,由感染控制专职护士进行护理;分析两组患者临床资料,比较MDROs发现数及每千住院日新发分离量;采用SPSS16.0软件进行统计分析。结果试验组462例患者中发现MDROs感染22例,对照组450例患者发现MDROs感染28例,试验组明显低于对照组,两组比较差异有统计学意义(P0.05);试验组患者MDROs每千住院日新发分离量为11.3%,对照组为18.2%,两组比较差异有统计学意义(P0.05)。结论 ICU成立感染控制专职护士十分必要,通过培训及严格监督加强对MDROs的管理,可有效降低MDROs的感染率,落实隔离从而进一步减少MDROs的交叉感染率,临床意义突出,值得推广与使用。
[Abstract]:Objective to explore the role of ICU infection control full-time nurses in the management of multidrug resistant bacteria (MDR), and to provide theoretical guidance and basis for reducing nosocomial infection.Methods 450 patients admitted to ICU from November 2013 to October 2014 were selected as control group and 462 patients admitted to ICU from November 2014 to October 2015 were selected as control group.The clinical data of the two groups were analyzed to compare the number of MDROs findings and the new seperation amount per 1000 days of hospitalization. SPSS16.0 software was used to carry out statistical analysis.Results MDROs infection was found in 22 cases of 462 patients in the trial group and 28 cases in the control group (450 cases), which was significantly lower in the trial group than in the control group.The difference between the two groups was statistically significant (P 0.05), the new separation of MDROs per thousand days in the trial group was 11. 3 and that in the control group was 18. 2, the difference between the two groups was statistically significant (P 0. 05).Conclusion it is very necessary to establish a full-time nurse for infection control in ICU. Strengthening the management of MDROs through training and strict supervision can effectively reduce the infection rate of MDROs and further reduce the cross-infection rate of MDROs. The clinical significance is prominent.It is worth popularizing and using.
【作者单位】：中山大学附属第一医院PICU;
【基金】：广东省卫生厅医学科研基金资助项目(2013B021800276)
【分类号】：R473

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