Efficacy of targeted monitoring and intervention on multidrug-resistant organisms in intensive care units
10.3969/j.issn.1671-9638.2017.01.013
- VernacularTitle:ICU多重耐药菌目标性监测与干预效果分析
- Author:
Yanan CHEN
;
Jing LIU
;
Limei TIAN
;
Shanshan LIU
;
Liye PAN
;
Ting LIU
;
Huiyi WU
- Keywords:
intensive care unit;
multidrug-resistant organism;
targeted monitoring;
intervention
- From:
Chinese Journal of Infection Control
2017;16(1):58-61,65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the status of infection with multidrug-resistant organisms (MDROs) in intensive care units(ICUs),and evaluate the intervention efficacy of targeted monitoring.Methods Prospective study was adopted,patients who were admitted to ICUs in 2014-2015 were selected (January-December 2014 was as preintervention stage,January-December 2015 was as intervention stage),trend of MDRO infection before and after intervention were compared and analyzed.Results Before and after intervention,297 and 217 strains of MDROs were isolated respectively,except carbapenem-resistant Pseudomonasaeruginosa (CRPA),the isolated strains of carbapenem-resistant Acinetobacterbaunannii (CRAB),carbapenem-resistant Enterobacteriaceae (CRE),methicillin-resistant Staphylococcus aureus(MRSA),and vancomycin-resistant Enterococcus (VRE) declined after intervention.MDRO infection rate declined from 7.17 ％ before intervention to 3.88％ after intervention,infection rate of CRAB and CRE after intervention were both lower than before intervention (both P＜0.05);MDRO infection rates in general ICU and internal medicine ICU increased from 8.75％ and 7.84‰ before intervention to 4.39‰ and 2.28％ after intervention,respectively (both P＜0.05).After taking comprehensive intervention measures,compliance to prevention and control measures,such as ordering rate of doctor's advice on contact isolation for 24 hours,hand hygiene,health care workers' awareness all enhanced significantly(all P＜0.05).Conclusion Targeted monitoring and intervention measures can reduce isolation rate of MDROs in ICUs.
