Formulation and clinical application of integrated prevention and control guide for multidrug-resistant organism in ICU
10.3760/cma.j.issn.1674-2907.2017.20.021
- VernacularTitle:ICU多重耐药菌综合防控指引的制定及临床应用
- Author:
Jiaqi ZHANG
1
;
Yeping ZHENG
;
Dongmei LIU
;
Shengchun ZHU
;
Yeli DONG
Author Information
1. 314000,浙江省嘉兴市第二医院ICU
- Keywords:
Intensive Care Unit;
Multidrug-resistant organism;
Prevention and control
- From:
Chinese Journal of Modern Nursing
2017;23(20):2658-2661
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish the integrated prevention and control guide for multidrug-resistant organism (MDRO), guide nursing staff to strengthen prevention and control for MDRO and to compare the rate of implementation in preventive and control measures along with the discovery rate of MDRO before and after implementing guide.Methods The main problems of prevention and control management for MDRO were analyzed and induced with the methods of literature search, interviews with medical staff in ICU, referring to relevent clinical data and so on. The prevention and control guide was formulated according to expert consensus on MDRO, hospital infection management system of MDRO, clinical practice demand and so on. The prevention and control guide was implemented involving carrying out evidence-base training, building up prevention and control process, quality control and so on from July 2015 to June 2016. All patients of ICU in the Second Hospital of Jiaxing between July 2014 and June 2016 were divided into two groups before (n=622) and after (n=604) implementing prevention and control guide by purposive sampling. The discovery situation of MDRO was investigated. Besides, the implementation situation of preventive and control measures was evaluated by selecting 380 patients and 375 patients from two groups separately.Results After implementing prevention and control guide for MDRO, the rate of implementation in preventive and control measures (90.40%) significantly improved compared to that before implementation (70.00%) along with the discovery rate of MDRO (8.77%) decreased compared to that before implementation (16.08%) with significant differences (P<0.05). Conclusions The application of prevention and control guide for MDRO can effectively decrease the discovery rate of MDRO in ICU, make prevention and control work of MDRO more scientific, standardized, systematized and have a good clinical guidance role for prevention and control for MDRO of critical patients.
