接触隔离预防控制耐碳青霉烯类耐药菌传播效果分析

发布时间：2018-01-02 10:01

  本文关键词：接触隔离预防控制耐碳青霉烯类耐药菌传播效果分析　出处：《中华医院感染学杂志》2017年18期 　论文类型：期刊论文

  更多相关文章： 碳青霉烯类 肺炎克雷伯菌 鲍氏不动杆菌 隔离 依从率

【摘要】：目的分析实施综合接触隔离措施对耐碳青霉烯类肺炎克雷伯菌(CRKP)、鲍氏不动杆菌(CRAB)感染发生状况的影响,为预防与控制耐碳青霉烯类细菌院内传播提供循证依据。方法采用回顾性调查,收集干预前医院2013年1月1日-2014年12月31日肺炎克雷伯菌及鲍氏不动杆菌感染患者的临床信息,2015年1月1日-2016年12月31日实施综合接触隔离措施,措施包括开具接触隔离医嘱、标识、信息干预,手卫生宣传活动等,比较干预前后CRKP及CRAB的隔离率和感染率的变化。结果干预后CRKP隔离率从20.95%升至61.82%,CRAB从16.80%升至51.49%,差异有统计学意义(P0.05);手卫生依从率从63.93%上升至83.86%,差异有统计学意义(P0.05);CRKP、CRAB的医院感染率分别从0.51‰、0.68‰降至0.19‰、0.37‰,差异有统计学意义(P0.05);CRKP检出率从13.15%下降至9.31%,差异有统计学意义(P0.05),CRAB检出率从36.43%上升至40.27%,差异无统计学意义(P0.05)。结论开具接触隔离医嘱、标识明确、信息干预、提高手卫生依从率等综合接触隔离措施,能有效减少CRKP、CRAB医院感染的发生。
[Abstract]:Objective to analyze the effect of comprehensive contact isolation on the incidence of Klebsiella carpopilli, Acinetobacter baumannii (Acinetobacter baumannii) and Klebsiella pneumoniae (Klebsiella baumannii) infection. To provide evidence-based basis for preventing and controlling the spread of carbapenem-resistant bacteria in hospital. Methods retrospective investigation was carried out. To collect clinical information of patients with Klebsiella pneumoniae and Acinetobacter baumannii infection in pre-intervention hospitals from January 1st 2013 to December 31st 2014. From January 1st 2015 to December 31st 2016, comprehensive contact isolation measures were carried out, including issuing contact isolation doctor's orders, marking, information intervention, hand hygiene publicity activities and so on. The isolation rate and infection rate of CRKP and CRAB were compared before and after intervention. Results the isolation rate of CRKP increased from 20.95% to 61.82% after intervention. CRAB increased from 16.80% to 51.49, and the difference was statistically significant (P 0.05). The compliance rate of hand hygiene increased from 63.93% to 83.86, and the difference was statistically significant (P 0.05). The nosocomial infection rate of CRKP- CRAB decreased from 0.51 鈥，

本文编号：1368724