Effect of strict disinfection of environment strategy on multi-drug resistant bacteria infec- tion control in intensive care unit
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摘要:
目的 探讨严格环境消毒策略对 ICU 内多重耐药菌感染控制的影响。 方法 回顾分析 2011 年（A 组）、2012 年（B 组）和 2013 年（C 组）本院 ICU 内多重耐药菌［鲍曼不动杆菌、耐甲氧西林金黄色葡萄球菌（MRSA）、铜绿假单胞菌、肺炎克雷伯菌、大肠埃希菌］的发生率，统计同期 ICU 抗生素的使用率、患者在 ICU 的住院天数及死亡率等指标，以及分析 3 组相应的院感防控措施。其中 C 组在前两组的基础上采取了严格环境消毒策略。 结果 3 组多重耐药菌的发生率有明显变化，C 组各项指标明显下降，组间差异有显著性。 结论 严格环境消毒策略对 ICU 内多重耐药菌感染的控制有显著效果，可以降低多重耐药菌发生率，降低 ICU 的抗生素使用率和患者死亡率。 Abstract:Objective To approach the effect of strict disinfection of environment strategy on multi-drug resistant bacteria infection in intensive care unit. Methods The clinical data was collected from the patients in Intensive Care Unit from 2011 to 2013,the period was divided into three groups: A group,B group,and C group,every group was six months,count the incidence of Multi-drug resistant bacteria infection,including Acinetobater baumannii,methicillin-resistant Staphylococcus aureus,multidrug-resistent Pseudomonas aeruginosa,Klebsiella pneumoniae and Escherichia coli. Count the usage of antibiotic,hospitalization days and mortality in three groups,and Analyse the preventive measures of nosocomial infection in each group. Strict disinfection of environment strategy was used in Cgroup based on A and B group. Results Incidences of multi-drug resistant bacteria infection of three groups have changed significantly,C group decreased significantly,especially in Acinetobater baumannii. The usage of antibiotic,hospitalization days and mortality in C group have decreased significantly. Conclusion Strict disinfection of environment strategy has protective effects on multi-drug resistant bacteria infection in intensive care unit. -
Key words:
- disinfection /
- ICU /
- multi-drug resistant bacteria /
- infection
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