高频接触物体表面消毒质量管理在多药耐药菌控制中的作用研究

发布时间：2018-03-08 04:13

本文选题：高频接触物体表面　切入点：消毒质量　出处：《中华医院感染学杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的探讨ICU高频接触物体表面消毒质量管理在多药耐药菌控制中的作用,以提高医疗质量。方法选择2013年5月-2014年12月ICU 1 297例住院患者的多药耐药菌检出结果为研究对象,将2013年5月-2014年2月住院患者594例设为干预前组,2014年3-12月住院患者703例设为干预后组,由责任护士负责组内高频接触物体表面的消毒,并规范消毒方法和消毒质量的督查,比较两组的消毒质量和多药耐药菌检出结果。结果高频接触物体表面消毒质量在干预前后合格率分别为80.3%和94.3%,差异有统计学意义(P0.05);干预前后目标性病原菌监测多药耐药菌检出率分别为77.9%和37.5%,差异有统计学意义(P0.05);ICU患者目标性病原菌监测多药耐药菌检出率在干预前后分别为45.2%和26.3%,其中耐甲氧西林金黄色葡萄球菌、耐碳青霉烯类肺炎克雷伯菌和泛耐药鲍氏不动杆菌检出率显著下降,差异有统计学意义(P0.05)。结论重视并规范高频接触物体表面消毒质量管理,能有效控制多药耐药菌在医院内的传播。
[Abstract]:Objective to investigate the effect of ICU high frequency contact surface disinfection quality management on the control of multidrug resistant bacteria (MDR) in order to improve the medical quality. Methods the results of multidrug resistance (MDR) detection in ICU 1 297 inpatients from May 2013 to December 2014 were selected as the research objects. From May 2013 to February 2014, 594 inpatients were divided into pre-intervention group, and 703 inpatients from 2014 to December were selected as post-intervention group. The responsible nurses were responsible for the disinfection of the surface of high frequency contact objects in the group and the supervision of disinfection methods and disinfection quality. Results the qualified rates of disinfection quality of high frequency contact objects before and after intervention were 80.3% and 94.3 respectively, the difference was statistically significant (P 0.05). The detection rates of drug-resistant bacteria were 77.9% and 37.5, respectively. There was significant difference in the detection rate of multidrug resistant bacteria in patients with P0.05ICU. The detection rates of multidrug resistant bacteria were 45.2% and 26.3 before and after intervention respectively, among which methicillin-resistant Staphylococcus aureus was found to be resistant to methicillin-resistant Staphylococcus aureus. The detection rate of Klebsiella pneumoniae and Acinetobacter baumannii decreased significantly, and the difference was statistically significant (P 0.05). Conclusion the quality management of surface disinfection of high frequency contact objects should be emphasized and standardized. It can effectively control the spread of multidrug resistant bacteria in hospitals.
【作者单位】：衢州市人民医院感染管理处;
【基金】：浙江省自然科学基金资助项目(LY13H200004)
【分类号】：R187

【相似文献】