医院多重耐药菌感染预防与隔离现状调查及质量改进

摘要

目的：了解重庆医科大学附属第二医院医护人员对多重耐药菌感染相关知识的知晓率及预防与隔离制度的执行情况。方法：采用自制问卷调查表及现场调查研究该院医护人员、患者多重耐药菌感染相关知识及预防与隔离制度的执行情况。结果医师组对多重耐药菌感染相关知识的知晓率明显高于护理组，患者及家属知晓率极低。医师与护理人员对预防隔离措施的依从性有较大差异。结论：加强对护理人员的培训、加强对患者及家属的健康教育、强化医院感染控制小组职责、实施细节化管理，是提高多重耐药菌感染预防与隔离效果的有效途径。%Objective To understand the related knowledge awareness rate of multi-drug resistant organisms (MDRO) infection and the implementation situation of prevention and isolation system in the medical staffs of our hospital .Methods The self -made questionnaire and on-the-spot investigation were adopted to understand the relevant knowledge and awareness of prevention and segregation of MDRO infection among medical staffs and patients in our hospital .Results The related knowledge awareness rate of MDRO in the doctor group was significantly higher than that in the nursing group ,the awareness rate in the patients and family members was very low .There was great difference in compliance to prevent isolation measures between doctors and nurses .Conclu-sion Strengthening the training of nurses ,strengthening the health education to patients and their families ,reinforcing the respon-sibility of hospital infection control group and implementing the detail management are the effective pathway for increasing the pre-vention and segregation of MDRO .