PDCA循环法在耐甲氧西林金黄色葡萄球菌管理中的实施效果研究

发布时间：2018-03-07 03:06

本文选题：耐甲氧西林金黄色葡萄球菌　切入点：PDCA循环法　出处：《中华医院感染学杂志》2017年18期 　论文类型：期刊论文

【摘要】：目的研究PDCA循环法在耐甲氧西林金黄色葡萄球菌(MRSA)管理中的实施效果。方法回顾性分析2012年1月-2016年12月住院患者送检标本的细菌鉴定和药敏试验结果,Cox-Stuart趋势检验分析MRSA的检出率和耐药趋势。结果金黄色葡萄球菌中MRSA检出率为31.17%,经Cox-Stuart趋势检验分析,检出率呈下降趋势;MRSA对利奈唑胺、替加环素、替考拉宁、万古霉素、呋喃妥因、磺胺甲VA唑/甲氧苄啶、莫西沙星的耐药率30%,对青霉素、头孢西丁、苯唑西林、红霉素的耐药率75%;经Cox-Stuart趋势检验分析,MRSA对四环素、克林霉素、环丙沙星、庆大霉素、利福平、左氧氟沙星的耐药率呈下降趋势,而对头孢西丁、红霉素、苯唑西林、青霉素、莫西沙星、复方新诺明、呋喃妥因、万古霉素、利奈唑胺、替加环素、替考拉宁的耐药率无变化趋势。结论 PDCA循环法在MRSA管理中的实施效果良好,使得MRSA检出率和对克林霉素等抗菌药物的耐药率呈下降趋势。
[Abstract]:Objective to study the effect of PDCA cycle on methicillin-resistant Staphylococcus aureus (MRSA) management. Methods the results of bacterial identification and drug sensitivity test of hospitalized patients from January 2012 to December 2016 were retrospectively analyzed. Results the detection rate of MRSA in Staphylococcus aureus was 31.17%. The detection rate of MRSA showed a decreasing trend. MRSA was resistant to penicillin, cefoxitin, oxacillin, teicoplanin, vancomycin, furantoin, sulfamethazol / trimethoprim, moxifloxacin, penicillin, cefoxitin and oxacillin. The resistance rate of erythromycin to tetracycline, clindamycin, ciprofloxacin, gentamycin, rifampicin, levofloxacin, and cefoxitin, erythromycin, oxacillin, penicillin, etc. The drug resistance rate of moxifloxacin, compound sulfamide, furantoin, vancomycin, linazolamine, tegacycline and teicoplanin has no change trend. Conclusion the effect of PDCA circulation method in MRSA management is good. The detection rate of MRSA and resistance to clindamycin and other antimicrobial agents showed a decreasing trend.
【作者单位】：厦门大学附属第一医院医院感染管理部;厦门大学医学院护理系;北京理工大学管理与经济学院组织与人力资源系;
【基金】：国家自然科学基金资助项目(71603224) 教育部人文社会科学青年基金资助项目(16YJC630017) 厦门市科技计划科技惠民资助项目(3502Z20144008) 福建省卫生厅青年基金资助项目(2012-2-79)
【分类号】：R446.5

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