Effect of multi-disciplinary team on management of multidrug-resistant organisms
10.3969/j.issn.1671-9638.2015.12.016
- VernacularTitle:多学科合作管理多重耐药菌的效果
- Author:
Hong WANG
;
Meiling YI
;
Weijian DING
;
Jun PENG
;
Qiuhong TAN
- Publication Type:Journal Article
- Keywords:
multi-disciplinary team;
multidrug resistance;
multidrug-resistant organism;
management of multi-drug-resistant organism;
effect evaluation;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2015;(12):846-848
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the detection of multidrug-resistant organisms (MDROs)in a hospital, evaluate the efficacy of multi-disciplinary team(MDT)on management of MDROs,and provide guidance for effective control on MDRO infection.Methods From October 2013 to September 2014,compliance to comprehensive inter-vention measures in clinical departments in different stages as well as detection of MDROs from patients were com-pared respectively.Results Compliance to comprehensive intervention measures showed an overall upward trend from the fourth quarter of 2013 to the first,second,and third quarters of 2014,difference was statistically signifi-cant (all P <0.001 ).From the fourth quarter of 2013 to the third quarter of 2014,the percentage of the major MDRO strains in the same species of bacteria were:methicillin-resistant Staphylococcus aureus (MRSA)52.34%, 45.45%,48.95%,and 26.25% respectively;carbapenem-resistant Acinetobacter baumannii (CRAB)64.42%, 63.07%,59.87%,and 43.09% respectively;multidrug-resistant Pseudomonas aeruginosa (MDRPA)42.11 %, 41 .82%,29.33%,and 17.52% respectively;the detection rate of MRSA,CRAB,and MDRPA showed an overall downward trend,difference among different stages were statistically significant (all P <0.001 ).Detection rates of carbapenem-resistant Enterobacteriaceae (CRE)and vancomycin-resistant Enterococcus (VRE)were both low (<5%),difference among different stages were not statistically significant (all P >0.05).Conclusion MDT on man-agement of MDROs is helpful for reducing the emergence and spread of MDROs.
