Application of an information-based integrated supervision system for the prevention and control of multidrug-resistant bacterial infections
10.11816/cn.ni.2025-246671
- VernacularTitle:多重耐药菌感染防控信息化组合监管系统的应用
- Author:
Zhenna GAO
1
;
Jin YIN
1
;
Yan LU
1
;
Qun ZHANG
1
Author Information
1. 上海长征医院疾病预防控制科,上海 200003
- Publication Type:Journal Article
- Keywords:
Multidrug-resistant bacteria;
Infection prevention and control;
Information-based integrated supervi-sion mode
- From:
Chinese Journal of Nosocomiology
2025;35(11):1697-1701
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To explore the application effect of the"IMS"information-based combined supervision sys-tem in the prevention and control of multidrug-resistant bacterial infections in the comprehensive ICU of a tertiary hospital.METHODS Data related to multidrug-resistant bacterial hospital infections in hospitalized patients in the comprehensive ICU of Shanghai Changzheng Hospital from 2022 to 2023 was retrospectively collected.In 2022,the conventional multidrug-resistant infection management mode was continued and was designated as the conven-tional infection management group.In 2023,on the basis of the aforementioned conventional management mode,the"IMS"information-based integrated supervision strategy was implemented,which included a multidrug-resist-ant critical value alert isolation system,a real-time monitoring system for antibiotic usage,a hand hygiene compli-ance monitoring system,and an automatic disinfection system for environmental cleanliness,and was designated as the information-based integrated supervision group.The rates of MDRO infections and hospital infections be-tween two groups were compared.RESULTS The informatized combined supervision group showed a reduction in The detection rate of five multidrug-resistant bacteria decreased in the information-based integrated supervision group(62.47％vs.69.33％,P＜0.05).The utilization rate of special-grade antimicrobial agents among hospital-ized patients decreased(51.46％vs.57.58％,P＜0.05).The hand hygiene compliance among ICU healthcare workers improved(95.45％vs.92.32％,P＜0.05).Additionally,the rate of pathogenetic delivery prior to anti-microbial in hospitalized patients of other department,as well as the microbiological qualification rate of the envi-ronment,have also shown improvement.CONCLUSION With the help of"IMS"information-based integrated su-pervision system has effectively enhanced the capacity for prevention and control of multidrug-resistant infection in the emergency intensive care department in the hospital.
