落实防控措施降低多重耐药菌医院感染率

摘要

目的：探讨多重耐药菌防控措施的落实对降低多重耐药菌医院感染率的效果。方法2012年，在全院范围内加强多重耐药菌防控措施的落实，并对防控措施落实情况与全年院内多重耐药菌感染变化情况进行统计，分析两者间的关联。结果通过监测与追踪，医院多重耐药菌各项防控措施落实情况持续好转；下半年多重耐药菌医院感染率（0．29％，119／41579）较上半年（0．49％，186／38252）明显下降，差异有统计学意义（χ2＝20．95，P ＜0．01）。结论持续多重耐药菌监测与追踪有助于落实多重耐药菌感染防控措施，并能有效减少多重耐药菌医院感染的发生。%Objective To explore the effect of implementation of prevention and control measures on reducing the incidence of multidrug-resistant organisms(MDROs)healthcare-associated infection(HAI)rate.Methods Imple-mentation of prevention and control measures on MDROs were strengthened in a hospital in 2012,the relationship between implementation status and change in MDROs infection in the whole hospital were analyzed statistically. Results Through continuous monitoring and tracking,the implementation of prevention and control measures on MDROs continued to be improved,MDRO HAI rate of the second half year was significantly lower than the first half year ([0.29%,119/41 579]vs[0.49%,186/38 252])(χ2 =20.95,P <0.01).Conclusion Continuous monito-ring and tracking of MDROs is helpful for implementing the prevention and control measures on MDROs infection, as well as reducing the incidence of HAI caused by MDROs .