中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
31期
337-338
,共2页
多重耐药菌%目标性监测%医院感染%防控%改进分析
多重耐藥菌%目標性鑑測%醫院感染%防控%改進分析
다중내약균%목표성감측%의원감염%방공%개진분석
Multi-resistant Bacteria%Targeted surveillance%Hospital Infection%Prevention and control%Improved analysis
目的：为有效预防和控制多重耐药菌在医院的传播，保障医疗安全，加强多重耐药菌的医院感染管理，我院自2011年7月起开展多重耐药菌目标性监测。建立和完善对多重耐药菌的监测和预防控制措施，加强抗菌药物的合理应用和对医务人员的教育培训。使多重耐药菌医院感染控制工作规范有序，保障了患者和医务人员的安全。方法开展细菌耐药目标性监测，对多重耐药菌感染患者的一般资料、病原菌分布、标本种类及抗生素耐药情况进行分析。并对属于多重耐药菌感染的患者进行干预，建立预防和控制措施，严格实施隔离措施，建立监督和处罚制度。把零宽容理念应用于多重耐药菌感染防控中。结果通过开展监测对属于多重耐药菌感染的患者进行干预，加强消毒管理，有效地预防和控制了多重耐药菌在医院内的传播，保障了患者及医疗安全。结论加强多重耐药菌的监测，制定切实可行的防控制度，严格执行消毒隔离措施、落实手卫生及合理应用抗生素，是预防医院感染的发生和医院感染暴发的关键。2011年7月至2013年5月，开展多重耐药菌感染的监测，采取综合处理措施，有效预防了MDROs医院感染发生。
目的：為有效預防和控製多重耐藥菌在醫院的傳播，保障醫療安全，加彊多重耐藥菌的醫院感染管理，我院自2011年7月起開展多重耐藥菌目標性鑑測。建立和完善對多重耐藥菌的鑑測和預防控製措施，加彊抗菌藥物的閤理應用和對醫務人員的教育培訓。使多重耐藥菌醫院感染控製工作規範有序，保障瞭患者和醫務人員的安全。方法開展細菌耐藥目標性鑑測，對多重耐藥菌感染患者的一般資料、病原菌分佈、標本種類及抗生素耐藥情況進行分析。併對屬于多重耐藥菌感染的患者進行榦預，建立預防和控製措施，嚴格實施隔離措施，建立鑑督和處罰製度。把零寬容理唸應用于多重耐藥菌感染防控中。結果通過開展鑑測對屬于多重耐藥菌感染的患者進行榦預，加彊消毒管理，有效地預防和控製瞭多重耐藥菌在醫院內的傳播，保障瞭患者及醫療安全。結論加彊多重耐藥菌的鑑測，製定切實可行的防控製度，嚴格執行消毒隔離措施、落實手衛生及閤理應用抗生素，是預防醫院感染的髮生和醫院感染暴髮的關鍵。2011年7月至2013年5月，開展多重耐藥菌感染的鑑測，採取綜閤處理措施，有效預防瞭MDROs醫院感染髮生。
목적：위유효예방화공제다중내약균재의원적전파，보장의료안전，가강다중내약균적의원감염관리，아원자2011년7월기개전다중내약균목표성감측。건립화완선대다중내약균적감측화예방공제조시，가강항균약물적합리응용화대의무인원적교육배훈。사다중내약균의원감염공제공작규범유서，보장료환자화의무인원적안전。방법개전세균내약목표성감측，대다중내약균감염환자적일반자료、병원균분포、표본충류급항생소내약정황진행분석。병대속우다중내약균감염적환자진행간예，건립예방화공제조시，엄격실시격리조시，건립감독화처벌제도。파령관용이념응용우다중내약균감염방공중。결과통과개전감측대속우다중내약균감염적환자진행간예，가강소독관리，유효지예방화공제료다중내약균재의원내적전파，보장료환자급의료안전。결론가강다중내약균적감측，제정절실가행적방공제도，엄격집행소독격리조시、락실수위생급합리응용항생소，시예방의원감염적발생화의원감염폭발적관건。2011년7월지2013년5월，개전다중내약균감염적감측，채취종합처리조시，유효예방료MDROs의원감염발생。
Objective To effectively prevent and control the spread of multi-resistant bacteria in hospitals, medical security, multiple drug-resistant bacteria in hospital infection management, our hospital since July 2011 to carry out targeted monitoring multi-resistant bacteria. Establishing and perfecting of multiple drug-resistant bacteria monitoring and prevention and control measures, strengthen the reasonable application of antimicrobial drugs and the medical staff education training. Make multiple drug-resistant bacteria in hospital infection control work norms and orderly, ensure the safety of patients and medical staff. Method Drug-resistant bacteria targeted monitoring, the general data of multiple drug-resistant bacteria infection, pathogenic bacteria distribution, types of specimens, and antibiotic drug resistance situation are analyzed. And belong to multiple drug-resistant bacteria infection in patients with intervention, set up prevention and control measures, strict implementation of quarantine measures, establish supervision and punishment system. The concept of zero tolerance is applied to multiple drug-resistant bacteria infection prevention and control. Results Through the surveillance of belong to multiple drug-resistant bacteria infection in patients with intervention, in order to strengthen the management of disinfection, effectively prevent and control the spread of multi-resistant bacteria within the hospital, the patient and the medical security.Conclusion Multi-resistant bacteria monitoring, formulate feasible prevention and control system, strict disinfection and isolation measures execution, implementation of hand hygiene and reasonable use of antibiotics, is to prevent the hospital infection and nosocomial infection outbreak. In July 2011 to May 2013, monitoring of multiple drug-resistant bacteria infection, adopt comprehensive measures, effectively prevent the MDROs hospital infections.
