Effect of improving compliance to multidrug-resistant organism prevention and control measures on reducing MDRO healthcare-associated infection
10.3969/j.issn.1671-9638.2017.02.006
- VernacularTitle:提高多重耐药菌防控措施执行力对降低多重耐药菌医院感染的影响
- Author:
Ying LI
;
Wen XU
;
Wei GE
;
Caini MU
;
Xiaoqin CAO
;
Shanhong FAN
- Keywords:
multidrug-resistant organism;
prevention and control;
intervention measure;
compliance
- From:
Chinese Journal of Infection Control
2017;16(2):126-129
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the effect of improving compliance rate to multidrug-resistant organism (MDRO)prevention and control measures on reducing MDRO transmission in the intensive care unit (ICU ). Methods All patients in 5 ICUs of a hospital in March-June 2014 were chosen,March 1-April 30,2014 was base-line survey stage,May 1-June 30,2014 was intervention stage (comprehensive intervention measures were taken), the implementation of patients contact isolation measures,as well as awareness of MDRO-related knowledge among health care workers(HCWs)in 5 ICUs before and after intervention were compared respectively. Results HCWs' awareness rates of MDRO transmission modes,contact isolation measures,and informing of department transfer after intervention were all higher than before intervention(100.00% vs 67.22% ,98.89% vs 61.11% ,93.33% vs 45 .56% ,respectively);except single-room isolation,compliance rates to other prevention and control measures (including doctor's advice on isolation,bedside isolation,wearing isolation gowns,adding isolation logo)were all higher than before intervention(>70% vs <50% ,all P<0.01). Detection rate of MDROs after intervention was lower than before intervention (7.16% [90/1257]vs 9.65% [117/1212],χ2= 5.00,P= 0.03). Conclusion Com-prehensive intervention measures can improve HCWs'compliance to prevention and control measures on MDROs, and reduce the transmission of MDROs.
