五步法综合干预措施对手卫生依从性和医院多药耐药菌分离情况的影响

发布时间：2018-11-13 13:02

【摘要】：目的探讨三级综合医院实施五步法综合干预措施对提高手卫生依从性和降低医院多药耐药菌分离率的有效性。方法 2013年8月-2014年8月为干预前组,2014年9月-2015年8月为干预后组,采用直接观察法调查手卫生依从率,在获取了依从性的基线水平后,实施综合干预措施,通过χ~2检验进行干预前后手卫生依从性、多药耐药菌分离率的数据处理和分析。结果全院医务人员手卫生依从率干预前为54.0%,逐步提高至干预后的74.0%,差异有统计学意义(P0.001);MRSA临床标本分离率从干预前的54.6%,下降至干预后的35.9%,VRE的临床标本分离率从干预前的30.1%,下降至干预后的9.2%,差异有统计学意义(P0.01)。结论实施五步法综合干预措施能明显提高手卫生依从性,有效降低医院多药耐药菌的分离率。
[Abstract]:Objective to explore the effectiveness of five steps comprehensive intervention in tertiary general hospitals to improve hand hygiene compliance and reduce the isolation rate of multidrug resistant bacteria in hospitals. Methods from August 2013 to August 2014 as the pre-intervention group and from September 2014 to August 2015 as the post-intervention group, the hand hygiene compliance rate was investigated by direct observation method. After obtaining the baseline level of compliance, comprehensive intervention was carried out. The data processing and analysis of hand hygiene compliance and multidrug resistant bacteria isolation rate before and after intervention were carried out by 蠂 ~ 2 test. Results the hand hygiene compliance rate of medical staff in the whole hospital was 54.0 before intervention, and gradually increased to 74.0 after intervention, the difference being statistically significant (P0.001). The isolation rate of MRSA clinical specimens decreased from 54.6 before intervention to 35.9VRE after intervention from 30.1 to 9.2 after intervention (P0.01). Conclusion five-step comprehensive intervention can significantly improve hand hygiene compliance and effectively reduce the isolation rate of multidrug resistant bacteria in hospitals.
【作者单位】：北京市海淀医院医院感染管理科;
【分类号】：R446.5

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