Application of multi-disciplinary team mode in prevention and control of multidrug resistant organism infection in lung transplant recipients
10.3969/j.issn.1674-7445.2024008
- VernacularTitle:多学科综合诊疗模式在肺移植受者多重耐药菌感染防控的应用
- Author:
Sangsang QIU
1
;
Qinfen XU
1
;
Qinhong HUANG
1
;
Yuqing GONG
1
;
Jingyu CHEN
2
;
Bo WU
2
Author Information
1. Wuxi Medical Center, Nanjing Medical University, Wuxi People's Hospital, Department of Infection Management, the Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi Medical Center of Nanjing Medical University, Wuxi 214023, China.
2. .
- Publication Type:OriginalArticle
- Keywords:
Lung transplantation;
Multidrug resistant organism;
Multi-disciplinary team;
Carbapenem-resistant Acinetobacter baumannii;
Carbapenem-resistant Escherichia coli;
Carbapenem-resistant Klebsiella pneumoniae;
Methicillin-resistant Staphylococcus aureus;
Carbapenem-resistant Pseudomonas aeruginosa
- From:
Organ Transplantation
2024;15(3):443-448
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of multi-disciplinary team (MDT) mode in the prevention and control of multidrug resistant organism (MDRO) infection in lung transplant recipients. Methods Lung transplant recipients admitted to the hospital from 2019 to 2022 were enrolled. MDT expert group was established in January, 2020. A series of prevention and control measures were conducted. The implementation rate of MDRO prevention and control measures and the detection rate of MDRO on the environmental surface from 2020 to 2022, and the detection rate of MDRO in lung transplant recipients from 2019 to 2022 were analyzed. Results The overall implementation rate of MDRO prevention and control measures for medical staff was increased from 64.9% in 2020 to 91.6% in 2022, showing an increasing trend year by year (P<0.05). The detection rate of MDRO on the environmental surface was decreased from 28% in 2020 to 9% in 2022, showing a downward trend year by year (P<0.05). The detection rate of MDRO in lung transplant recipients was decreased from 66.7% in 2019 to 44.3% in 2022, showing a decreasing trend year by year (P<0.001). Conclusions MDT mode management may enhance the implementation of MDRO prevention and control measures for medical staff, effectively reduce the infection rate of MDRO in lung transplant recipients and the detection rate of MDRO on the environmental surface, which is worthy of widespread application.
