CAJ | 학술논문

目的：评价无缝隙管理模式在多重耐药菌防控中的应用价值，总结医院感染防控经验。方法某院于2014年1月开始在医院感染防控中应用无缝隙管理，对比2013年与2014年医院防控质量指标水平、多重耐药菌发生情况。结果2014年病原学标本合格率、抗生素处方患者标本送检率、医务人员手卫生执行率、抗生素处方合格率、多重耐药菌隔离率高于2013年，2014年住院患者抗菌药物应用率低于2013年，差异有统计学意义（P＜0.05）；2014年病原菌检出率与MRSA、鲍曼不动杆菌、肺炎克雷伯菌、铜绿假单胞菌、MDRO合计感染率均低于2013年，2014年的MRSA、肺炎克雷伯菌、铜绿假单胞菌占病原菌检出率低于2013年，差异有统计学意义（P＜0.05）。结论无缝隙管理有助于提高多重耐药菌防控水平。
목적：평개무봉극관리모식재다중내약균방공중적응용개치，총결의원감염방공경험。방법모원우2014년1월개시재의원감염방공중응용무봉극관리，대비2013년여2014년의원방공질량지표수평、다중내약균발생정황。결과2014년병원학표본합격솔、항생소처방환자표본송검솔、의무인원수위생집행솔、항생소처방합격솔、다중내약균격리솔고우2013년，2014년주원환자항균약물응용솔저우2013년，차이유통계학의의（P＜0.05）；2014년병원균검출솔여MRSA、포만불동간균、폐염극뢰백균、동록가단포균、MDRO합계감염솔균저우2013년，2014년적MRSA、폐염극뢰백균、동록가단포균점병원균검출솔저우2013년，차이유통계학의의（P＜0.05）。결론무봉극관리유조우제고다중내약균방공수평。
Objective To evaluate gap management model in the prevention and control of multi drug resistant bacteria, the total sum up experience in prevention and control of hospital infection. Methods In January of 2014,a hospital began in prevention and control of nosocomial infection with non management gap, between 2013 and 2014 prevention and control of hospital quality refers to the standard, the occurrence of multi drug resistant bacteria. Results 2014 pathogenic pathologic specimens qualified rate, rate of antibiotic prescribing specimen, the implementation rate of hand hygiene of medical staff, qualified rate of antibiotic prescription, multi drug resistant bacteria isolation rate higher than 2013, 2014 patients with an-timicrobial drug application rate is lower than in 2013, the difference With statistical significance (P<0.05), the detection rate of pathogenic bacteria in 2014 was lower than that of MRSA, Bauman, MDRO, MRSA, and, and the total infection rate was lower than that in 2014, the difference was statistically significant (P<0.05). Conclusion No gap management is helpful to improve the level of multi drug resistant bacteria.