Study on the impact of evidence-based reinforcement training and monitoring management on the pre-vention and control of hospital-acquired multidrug-resistant organism infections
10.3969/j.issn.1671-332X.2025.01.037
- VernacularTitle:基于证据的强化培训与监测管理对医院多重耐药菌感染防控的影响研究
- Author:
Qi HUANG
1
;
Tianfu YANG
1
;
Cheng'an JINAG
1
;
Zhenfei CHEN
1
Author Information
1. 抚州市第一人民医院 江西抚州 344000
- Publication Type:Journal Article
- Keywords:
Multidrug-resistant organism;
Reinforcement training;
Monitoring management;
Infection prevention and control;
Impact
- From:
Modern Hospital
2025;25(1):140-142,147
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the impact of evidence-based reinforcement training and monitoring management on the prevention and control of hospital-acquired multidrug-resistant organism(MDRO)infections.Methods Convenience sam-pling was used to select data from hospitalized patients from 2020 to 2023 in the hospital's medical record system.The control group(pre-management)consisted of 86,564 patients admitted from January 2020 to December 2021,while the intervention group(post-management)consisted of 93,215 patients admitted from January 2022 to December 2023.Routine infection control measures were implemented for the control group,while evidence-based reinforcement training and monitoring management were implemented for the intervention group.The MDRO detection rate,MDRO hospital infection rate,patient antimicrobial drug us-age rate,healthcare workers'adherence to MDRO infection control measures,and MDRO infection control knowledge assessment were analyzed and compared between the pre-and post-management groups.Results After the management intervention,the MDRO detection rate and MDRO hospital infection rate were lower than before the management intervention(x2=4.22,16.078,P＜0.05).The patient antimicrobial drug usage rate decreased(x2=21.387,P＜0.01),while the rate of pathogen testing be-fore antimicrobial drug use increased(x2=9.726,P＜0.05).The healthcare workers'pass rate for MDRO infection control knowledge(96.36％)was significantly higher than before the management intervention(80.00％)(x2=12.654,P＜0.05).The adherence rates for hand hygiene,environmental cleaning and disinfection,isolation signage,single room/bedside isolation,specialized diagnostic and treatment supplies,and implementation of standard precautions increased from 81.82％,80.91％,79.09％,80.00％,77.27％,80.91％to 98.18％,98.18％,96.36％,96.36％,98.18％,98.18％(x2=16.364,17.528,15.240,14.132,22.334,17.528,P＜0.05).Conclusion Evidence-based reinforcement training and monitoring management can effectively reduce the MDRO detection rate and hospital infection rate,promote rational antimicrobial drug use,and improve the quality of medical care.
