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学科主题: 临床医学
题名:
46所医院多药耐药菌预防控制措施依从性与发生医院感染的关系
其他题名: Correlation between compliance of control of multidrug-resistant organisms and nosocomial infections in 46 hospitals
作者: 贾会学1; 吴安华1; 胡必杰1; 徐英春1; 张秀月1; 侯铁英1; 宗志勇1; 李卫光1; 杨怀1; 杨芸1; 刘运喜1; 建国1; 陆群1; 李六亿1
关键词: 多药耐药菌 ; 医院感染 ; 预防控制措施 ; 多中心研究 ; Multidrug-resistant organism ; Nosocomial infection ; Measures of prevention and control ; Multi-center research
刊名: 中华医院感染学杂志
发表日期: 2015
DOI: 10.11816/cn.ni.2015-150572
期: 11, 页:2478-2480
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的:了解不同地区多药耐药菌(MDROs)医院感染发生的特点及不同预防控制措施的依从性,探讨不同预防控制措施的落实与降低多药耐药菌医院感染的关系。方法2013年10月-2014年9月对我国6个地区46所医院进行了调查,使用统一的监测方法、调查表,经过统一培训,分析 MDROs感染数据及预防控制措施依从性。结果共监测病历34081份、住院日302818 d ,检出13049株感染/定植病原菌,其中MDROs 2803株, MDROs检出率为21.48%,发生医院感染1122例,日感染率3.71‰;其中东北地区检出率及日感染率最高分别为41.44%及9.60‰,华南地区检出率及日感染率最低分别为12.75%及0.95‰;不同预防控制措施中,护士及保洁员知晓率与CRAB医院感染率下降密切相关,手卫生依从性与MRSA医院感染率的下降密切相关。结论通过采取多药耐药菌预防控制措施,能有效降低多药耐药菌医院感染的发生,其中不同MDROs预防控制的关键措施有所不同。 OBJECTIVE To understand the characteristics of the multidrug‐resistant organisms (MDROs) infections in different regions and the compliance of control measures and explore the relationship between the implementa‐tion of the control measures and the reduction of incidence of the MDROs infections .METHODS From Oct 2013 to Sep 2014 ,a surgery was conducted by using the unified monitoring method and questionnaires ,involving 46 hospi‐tals from 6 regions of China ,the unified training was carried out ,and the data of the MDROs infections and the compliance of control measures were collected and observed .RESULTS A total of 34 081 copies of medical records have been monitored ,covering 302 818 patient‐days;totally 13 049 strains of pathogens causing infections or being colonized have been detected ,of which 2 803 (21 .48% ) were the MRDOs .The nosocomial infections occurred in 1 122 cases ,with the daily infection rate of 3 .71‰ ;the isolation rate was the highest (41 .44% ) in the northeast‐ern region ,the lowest (12 .75% ) in the southern China;while the daily infection rate was the highest (9 .60‰) in the northeastern region ,the lowest (0 .95‰) in the southern China .The awareness rate of the nurses and cleaning staff about the control measures was closely associated with the reduction of incidence of CRAB infection ,and the hand hygiene compliance was closely associated with the reduction of incidence of MRSA infection .CONCLUSIONS The implementation of the measures of control of MDROs can effectively reduce the incidence of MDROs infections ,and the key control measures vary in the MDROs .
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/46462
Appears in Collections:北京大学第一临床医学院_感染管理-疾病预防控制处_期刊论文

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作者单位: 1.北京大学第一医院感染管理-疾病预防控制处,北京,100034
2.中南大学湘雅医院感染控制中心,湖南长沙,410008
3.复旦大学附属中山医院感染管理科,上海,200023
4.北京协和医院检验科,北京,100032
5.中国医科大学附属盛京医院感染管理办公室,辽宁沈阳,110004
6.广东省人民医院感染管理科,广东广州,510008
7.四川大学华西医院感染管理科,四川成都,610041
8.山东省立医院感染管理办公室,山东济南,250021
9.贵州省人民医院感染管理科,贵州贵阳,550002
10.山西医学科学院山西大医院感染管理办公室,山西太原,030001
11.解放军总医院感染管理与疾病控制科,北京,100853
12.郑州大学第一附属医院医院办公室,河南郑州,450052
13.浙江大学医学院附属第二医院感染管理科,浙江杭州,310009

Recommended Citation:
贾会学,吴安华,胡必杰,等. 46所医院多药耐药菌预防控制措施依从性与发生医院感染的关系[J]. 中华医院感染学杂志,2015(11):2478-2480.
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