感控干预在多重耐药菌医院感染控制中应用效果.docVIP

感控干预在多重耐药菌医院感染控制中应用效果 　　[摘要] 目的 探讨感控干预在多重耐药菌医院感染控制中的应用效果。 方法 选取2010年1月～2014年6月本院的1000例多重耐药菌感染病例作为研究对象，随机分为观察组和对照组，各500例。观察组采用多重耐药菌感控干预措施，对照组实施常规处理。记录两组的细菌培养送检率、手卫生合格率、及时隔离率，比较两组的不同部位感染率。 结果 观察组的细菌培养送检率、手卫生合格率、及时隔离率显著高于对照组，差异有统计学意义（P0.05）。观察组的泌尿系统和血液系统感染率显著低于对照组，差异有统计学意义（P0.05）。观察组的总感染率显著低于对照组，差异有统计学意义（P0.05）。 结论 有效的感控干预对于预防和减少多重耐药菌感染具有积极意义。 　　[关键词] 感控干预；多重耐药菌；医院感染 　　[中图分类号] R194 [文献标识码] A [文章编号] 1674-4721（2016）01（c）-0134-03 　　[Abstract] Objective To explore the application effect of infection control intervention in the control of multidrug-resistant bacteria with hospital infection. Methods 1000 cases of multidrug-resistant bacteria infection from January 2010 to June 2014 in our hospital were selected and randomly divided into the observation group and the control group.The observation group was given infection control intervention of multidrug-resistant bacteria，the control group was implemented with conventional treatment.The inspection rate of bacterial culture，the qualified rate of hand hygiene，the timely isolation rate in the two group was recorded，and the infection rate of different parts in the two groups was compared. Results The inspection rate of bacterial culture，the qualified rate of hand hygiene，the timely isolation rate in the observation group was higher than that in the control group，with significant difference （P0.05）.The inspection rate of urinary system and blood system in the observation group was lower than that in the control group，with significant difference （P0.05）.The total inspection rate in the observation group was lower than that in the control group，with significant difference （P0.05）. Conclusion Effective infection control intervention in hospital infection has positive implication to prevent and reduce multidrug-resistant. 　　[Key words] Infection control intervention；Multidrug-resistant bacteria；Hospital infection 　　多重耐药菌感染主要通过接触（包括空气接触）进行传播，对多种抗菌药物治疗耐药[1]。细菌的耐药性产生与抗菌药物滥用有密切关系[2]。研究显示，不合理使用抗菌药物将导致细菌迅速产生耐药性，甚至出现耐药菌的流行与暴发[3]。医务