CAJ | 학술논문

研发多重耐药菌实时监测与防控功能系统,实现多重耐药菌医院感染与暴发的实时监测与有效防控.对系统每日预警新检出耐药菌病例或感染暴发,专职人员利用“交互平台”发送电子版防控措施干预或现场督导干预;利用系统定期导出耐药菌流行病学及药敏变化数据,导航科室耐药菌防控工作.研究显示,2012年较2011年全院使用抗菌药物患者病原学送检率提高1倍,达到30%;2012年1~8月份总计新发院内感染或定植重点多重耐药菌与2011年同期相比基本一致,分别为400株与397株;两年阻断10余起耐药菌早期院内交叉传播事件,将耐药菌感染暴发扼杀于萌芽状态.该系统创新了耐药菌感染监测与防控工作模式,可以阻断耐药菌院内交叉传播及避免感染暴发,取得了良好的监测防控效果.
연발다중내약균실시감측여방공공능계통,실현다중내약균의원감염여폭발적실시감측여유효방공.대계통매일예경신검출내약균병례혹감염폭발,전직인원이용“교호평태”발송전자판방공조시간예혹현장독도간예;이용계통정기도출내약균류행병학급약민변화수거,도항과실내약균방공공작.연구현시,2012년교2011년전원사용항균약물환자병원학송검솔제고1배,체도30%;2012년1~8월빈총계신발원내감염혹정식중점다중내약균여2011년동기상비기본일치,분별위400주여397주;량년조단10여기내약균조기원내교차전파사건,장내약균감염폭발액살우맹아상태.해계통창신료내약균감염감측여방공공작모식,가이조단내약균원내교차전파급피면감염폭발,취득료량호적감측방공효과.
To research and develop MDRB real monitoring and prevention and control system and to realize the real time monitoring and effective prevention and control of MDRB infection and outbreak, professional staff sent electronic intervention measures by interactive platform or site intervention for every new MDRB cases. The data of MDRB's epidemic and drug sensitivity were exported to guide MDRB prevention and control. It showed that the etiology test rate for antibiotics was 30%in 2012,which is twice of 2011. The new MDRB hospital infection cases during Jan-Aug in 2012 is 400, mostly the same of the period in 2011(397 cses). More than 10 cases of cross infection events were successfully prevented in the past two years. The system has innovated the mode of MDRB monitoring, prevention and control. It can prevent MDRB cross infection in hospital and avoid infection outbreak and has got good effectiveness.