Multi-department cooperation in prevention and control of multi-drug-resistant bacteria nosocomial infectionata hospital
10.3969/j.issn.1006-2483.2022.02.021
- VernacularTitle:多部门合作在多重耐药菌医院感染防控中的作用
- Author:
Ying ZHAI
1
,
2
;
Xiaokang CHEN
1
,
2
;
Ming ZHAO
3
,
4
Author Information
1. Department of Hospital Infection Management , 3201 Hospital Affiliated to Xi'
2. an Jiaotong University School of Medicine , Hanzhong , Shanxi 723000 , China
3. Department of Nephrology , 3201 Hospital Affiliated to Xi'
4. an Jiaotong University School of Medicine , Hanzhong , Shanxi 723000 , China
- Publication Type:Journal Article
- Keywords:
Multi-department cooperation;
Multidrug-resistant bacteria;
Hospital infection;
Prevention and control measures
- From:
Journal of Public Health and Preventive Medicine
2022;33(2):93-96
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the role of multi-department cooperation in the prevention and control of nosocomial infection of multi-drug-resistant bacteria(MDRO). Methods Theretrospective analysis was conducted on 1 478 inpatients before the implementation of multi-department cooperative management (January 2019 to December 2019). The implementation of multi-department cooperative management began in January 2020, including :(1) the establishment of multi-department cooperative management organization system; (2) Establish a three-level MANAGEMENT network of MDRO; (3) Multidisciplinary joint training; (4) Clinical departments shall be equipped with clinical pharmacists; (5) The hospital infection monitoring system was used to conduct real-time monitoring on the submission of microbial samples, the detection rate of MDRO, the changes of drug-resistant bacteria and the use of antibiotics; (6) Led by the department of hospital pathology and medical Service, regular joint ward rounds should be conducted in the departments and key departments with high DETECTION rate of MDRO; (7) PDCA cycle mode was adopted for quality control of all links of nosocomial infection prevention and control measures; After the implementation of multi-department cooperative management (January 2020 to December 2020), all the hospitalized patients in 1849 cases were detected and counted, and the incidence of nosocomial infection, the detection rate of MDRO, the compliance rate of hand hygiene, the implementation rate of contact isolation, and the specimen inspection rate of therapeutic use of antibiotics and the reasonable utilization rate of antibiotics were compared before and after the implementation. Results The incidence of nosocomial infection and the detection rate of MDRO were significantly lower after the implementation of multi-department cooperative management than before (χ2=46.611, χ2=16.814, P < 0.05). The hand hygiene compliance rate and contact isolation implementation rate were significantly higher after the implementation of multi-department cooperative management than before (χ2 = 25.357, χ2=29.227, P<0.05). After the implementation of multi-department cooperative management, the sample test rate of therapeutic use of antibiotics was significantly higher than that before the implementation of multi-department cooperative management (χ2=25.576, χ2=33.624, P<0.05). Conclusion The practice of multi-department cooperative management brings into full play the advantages of interdisciplinary complementarity, improves the ability of medical staff to implement the prevention and control measures for MDRO, and can effectively reduce the incidence of nosocomial infection in MDRO.
