Efficacy of comprehensive intervention in infection due to multidrug-resistant organisms in the general surgery department of a hospital
10.3969/j.issn.1671-9638.2017.06.015
- VernacularTitle:某院普通外科多重耐药菌感染综合干预效果
- Author:
Guang SUN
;
Chao XU
;
Chunfang WANG
;
Bo PENG
- Keywords:
general surgery department;
multidrug-resistant organism;
multidrug-resistant organism infection;
comprehensive intervention;
intervention efficacy
- From:
Chinese Journal of Infection Control
2017;16(6):555-557
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the current status of multidrug-resistant organism (MDRO) infection in the general surgery department of a tertiary first-class hospital, and understand the efficacy of comprehensive intervention measures.Methods Targeted monitoring on MDROs was implemented among patients who were hospitalized in a general surgery department for>48 hours between March 2015 and October 2016, comprehensive intervention measures were taken since January 2016.MDRO infection before and after intervention was compared.Results Between March 2015 and October 2016, a total of 6 406 hospitalized patients were monitored, 155(2.42%) developed MDRO infection.The most common infection sites were abdominal cavity(hydrops, bile) (n=76, 49.03%) and surgical site (n=43, 27.74%).MDRO infection rate dropped from 2.79% (99/3 549) before intervention (March-December, 2015) to 1.96% (56/2 857) after intervention (January-October, 2016) (x2=4.612, P=0.032).There was no difference in MDROs between before and after intervention, the major were both Escherichia coli.Conclusion Comprehensive intervention measures can reduce the incidence of MDRO infection in the general surgery department of this hospital.