Practice of multidrug-resistant organism management under the mode of information reminder system combined with multidisciplinary collaboration
10.12138/j.issn.1671-9638.20252757
- VernacularTitle:信息提醒系统联合多部门协同模式下多重耐药菌管理实践
- Author:
Liyuan QIN
1
;
Shengbin ZHOU
;
Qiufeng LAO
;
Lingling XIE
;
Li'e WANG
;
Hong-hong FU
;
Peiyun WU
;
Jiaguang HU
Author Information
1. 柳州市人民医院感控管理科,广西柳州 545001
- Publication Type:Journal Article
- Keywords:
multidrug-resistant organism;
reminder system;
information sharing;
multidisciplinary collaboration;
closed-loop mechanism
- From:
Chinese Journal of Infection Control
2025;24(11):1641-1646
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect of constructing a data sharing-based multidrug-resistant or-ganism(MDRO)information reminder system combined with multidisciplinary standardized measures on the whole-process closed-loop management of MDRO.Methods Hospitalized patients from whom MDRO were detected from January 1 to July 31,2024 were taken as the control group,those from August 1,2024,to May 31,2025 were as the intervention group.The control group adopted the traditional manual reporting mode for MDRO,while the in-tervention group adopted the combination of MDRO reminder system and multidisciplinary management mode.Differences in isolation order issuing rate for MDRO and process-and outcome-indicators for multidisciplinary spe-cialty before and after system implementation were compared.Results After implementing information reminder system combined with multidisciplinary measures,issuing rates of ≤24 hour and＜4 hour MDRO isolation orders in the intervention group were both higher than in the control group([90.20％vs 65.23％,P＜0.05],[80.64％vs 55.08％,P＜0.001],respectively).Antimicrobial use rate in the intervention group was lower than in the con-trol group(36.27％vs 43.41％),with a statistically significant difference(P＜0.05).The implementation rates of MDRO prevention and control measures,pathogen detection rates,and fluorescence labeling clearance rates in the intervention group were all higher than those in the control group,all with statistically significant differences(all P＜0.05).The detection rate of MDRO decreased compared with the control group(10.83％vs 16.49％),and the in-cidence of MDRO healthcare-associated infection in the intervention group was lower than that in the control group(0.09％vs 0.19％),both with statistically significant differences(both P＜0.001).The treatment expense in the intervention group reduced by 27 422 Yuan compared with the control group.Conclusion This study constructed an MDRO reminder system,realized full-chain monitoring system for the multidisciplinary MDRO information interac-tion platform,strengthened multidisciplinary in-depth integration,and improved the prevention and control effect for MDRO.
