| 平小娟,黄华,王玉兰,张朝阳,梁舒镇,周少雄,李帼宁.非公医院MDT院感管理查房新模式的探讨[J].上海护理,2021,21(6): |
| 非公医院MDT院感管理查房新模式的探讨 |
| Exploration on the new model of multidisciplinary teamnosocomial infection control management ward rounds in non-public hospital |
| DOI： |
| 中文关键词: 多学科协作团队 医院感染管理查房 感控质量评价指标 影响 |
| 英文关键词:Multidisciplinary team, Nosocomial infeciton control management ward rounds, Infection -control quality evaluation index, Influence |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨多学科协作团队(multidisciplinary team, MDT)院感管理查房模式在医院感染管理中的应用, 旨在提高医院感染管理意识, 有效控制医院感染。方法 在做好医院感染预防控制的基础上，开展院感管理联合查房，比较2018年与2019年实施前后医院感染控制评价指标的变化及管理成效。结果 干预后，医护人员手卫生依从率与正确率、微生物标本采集合格率、抗菌药物使用前病原学送检率明显高于干预前，差异显著，具有统计学差异（P<0.01）；医院感染发生率、手术切口感染率及多重耐药菌感染率、ICU呼吸机相关肺炎（VAP）较干预前明显下降，差异显著，具有统计学意义（P<0.01）；ICU的CRBSI与CAUTI感染发生率，较干预前有所下降，具有统计学差异（P<0.05）。结论 以院感科主导的MDT院感管理查房模式，能达到部门协同、专业互补之目的，院感评价指标改善明显，管理成效显。 |
| 英文摘要: |
| Objective:Discussing the application of multidisciplinary cooperative team (multidisciplinary team,MDT) ward round mode of nosocomial infection management in non-public hospital infection management, so as to improve the awareness of nosocomial infection management and effectively control nosocomial infection. Methods: Based on the prevention and control of nosocomial infection, the MDT joint ward round was carried out and the changes of evaluation indexes of nosocomial infection control and management effect before and after the implementation in 2018 and 2019 were compared. Results: After the intervention, the compliance rate and correct rate of hand hygiene, the qualified rate of microbiological specimen collection and the rate of pathogenic examination before the use of antibacterial drugs were significantly higher than those before the intervention (P < 0.01). The incidence of nosocomial infection, surgical incision infection, multi drug resistant bacteria infection and ventilator-associated pneumonia (VAP) in ICU were significantly lower than those before intervention (P < 0.01). The infection rates of CRBSI and CAUTI in ICU were lower than those before the intervention (P < 0.05). Conclusion: The MDT nosocomial infection management ward round mode led by the Department of hospital infection control department is able to achieve the goal of of department collaboration and professional complementarity, which help to improve the evaluation index of nosocomial infection significantly and the management effect was remarkable. |
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