集束化干预联合闭环管理对ICU多重耐药菌感染的防控效果
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女,硕士,主管护师

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广西壮族自治区卫生健康委员会科研课题(Z20201352)


Application of bundled intervention combined with closed-loop management in prevention and control of multi-drug resistance bacterial infections in ICU
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    目的 探讨集束化干预策略联合闭环管理模式对ICU多重耐药菌感染的防控效果。方法选取2020年1~12月EICU住院患者275例作为对照组,实施常规管理;2021年1~10月EICU住院患者239例作为观察组,在常规管理基础上实施集束化干预策略联合闭环管理。结果实施后,观察组多重耐药菌感染发生率明显低于对照组;患者住院日显著低于对照组,4项护理措施执行率(隔离标识、手卫生、环境消毒、医务人员相关知识知晓)、病原学送检率显著高于对照组(均P<0.05)。结论集束化干预联合信息化闭环管理可有效降低EICU多重耐药菌感染发生率。

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    Objective To explore the effect of applying bundled intervention combined with closed-loop management in prevention and control of multi-drug resistance bacterial infections (MDRBI) in ICU. Methods A total of 275 EICU patients hospitalized from January to December 2020 were seen as the control group, who received routine management. Another 239 EICU patients hospita-lized from January to October 2021 were assigned into the intervention group, who was subjected to bundled intervention combined with closed-loop management for prevention and control of MDRBI. Results After implementation of bundled intervention combined with closed-loop management, the intervention group had conspicuously lower incidence rate of MDRBI, and significantly shorter hospital stay, than the control group; the implementation rates of 4 nursing indexes (usage of isolation signs, hand hygiene, environmental disinfection, medical staffers′ knowledge level of MDRBI), and the rate of etiology examination were significantly higher in the intervention group than those in the control group (P<0.05 for all). Conclusion Application of bundled intervention combined with closed-loop management lowers incidence rate of MDRBI in ICU.

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侯璐蒙,李嘉嘉,钟娟,杨英芬,屈敬婷.集束化干预联合闭环管理对ICU多重耐药菌感染的防控效果[J].护理学杂志,2022,27(16):92-94

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  • 收稿日期:2022-03-28
  • 最后修改日期:2022-05-09
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  • 在线发布日期: 2023-08-29