ICU多重耐药菌目标性监测与干预效果分析
发布时间：2018-09-05 17:04
【摘要】：目的了解重症监护病房(ICU)多重耐药菌(MDRO)的感染现状,评价目标性监测的干预效果。方法采用前瞻性研究方法,选取2014—2015年入住ICU的患者,2014年1—12月为干预前阶段,2015年1—12月为干预阶段,对比分析干预前后MDRO感染趋势。结果干预前检出MDRO297株,干预后检出217株,除CRPA外,干预后耐碳青霉烯类鲍曼不动杆菌(CRAB)、耐碳青霉烯类肠杆菌科细菌(CRE)、耐甲氧西林金黄色葡萄球菌(MRSA)、耐万古霉素肠球菌(VRE)检出株数均较干预前减少。ICU MDRO感染率由干预前的7.17‰降至3.88‰,其中CRAB、CRE干预后感染率低于干预前,差异有统计学意义(均P0.05);综合、内科ICU MDRO感染率分别由干预前的8.75‰、7.84‰,降至干预后的4.39‰、2.28‰,两组比较差异均有统计学意义(均P0.05)。采取干预措施后,接触隔离医嘱24 h下达率、手卫生依从率、医护人员知晓率等防控措施的依从性较干预前显著提高(均P0.05)。结论采取目标性监测和干预措施,可降低ICU MDRO检出率。
[Abstract]:Objective to investigate the infection status of (ICU) multidrug resistant bacteria (MDRO) in intensive care unit (ICU) and evaluate the effect of targeted surveillance. Methods prospective study was used to analyze the trend of MDRO infection in patients admitted to ICU from January to December 2014 and from January to December 2015 respectively. Results MDRO297 strains were detected before intervention and 217 strains after intervention, except for CRPA. After intervention, the number of (CRE), resistant to methicillin-resistant Staphylococcus aureus, (MRSA), and vancomycin resistant Enterococcus (VRE) were decreased compared with those before intervention. The infection rate of MDRO was decreased by intervention. The former 7.17 per thousand fell to 3.88 per thousand, The infection rate of CRAB,CRE after intervention was significantly lower than that before intervention (P0.05); in general, the infection rate of ICU MDRO in internal medicine decreased from 8.75 鈥，
本文编号：2224888
[Abstract]:Objective to investigate the infection status of (ICU) multidrug resistant bacteria (MDRO) in intensive care unit (ICU) and evaluate the effect of targeted surveillance. Methods prospective study was used to analyze the trend of MDRO infection in patients admitted to ICU from January to December 2014 and from January to December 2015 respectively. Results MDRO297 strains were detected before intervention and 217 strains after intervention, except for CRPA. After intervention, the number of (CRE), resistant to methicillin-resistant Staphylococcus aureus, (MRSA), and vancomycin resistant Enterococcus (VRE) were decreased compared with those before intervention. The infection rate of MDRO was decreased by intervention. The former 7.17 per thousand fell to 3.88 per thousand, The infection rate of CRAB,CRE after intervention was significantly lower than that before intervention (P0.05); in general, the infection rate of ICU MDRO in internal medicine decreased from 8.75 鈥，
本文编号：2224888
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