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目的探讨提高抗菌药物治疗应用前临床病原微生物标本送检率的有效措施,了解其干预效果。方法采取规范微生物标本的采集与运送规程、相关人员培训、量化考核等综合干预措施,以20 13年1-12月为对照组,20 14年1月-20 15年12月为干预组,比较干预前后天津市海河医院住院患者治疗性抗菌药物使用前临床微生物标本送检情况。结果在调查住院患者中,对照组和干预组的送检率分别为69.41%、74.11%,送检率比较,差异有统计学意义(P<0.0 1)。限制级、特殊级治疗性使用抗菌药物患者分别为12 881例、2 29 8例,送检率分别为78.9 2%、89.77%。该院限制级以及特殊级治疗性抗菌药物患者,干预前后送检率比较发现,差异均有统计学意义(P<0.0 1)。结论干预能提高临床病原微生物标本送检率。
Objective To explore the effective measures to improve the rate of clinical pathogenic microorganisms before antimicrobial treatment, and to understand the intervention effect. Methods The comprehensive interventions, such as the collection and delivery of standardized microbiological specimens, the training of related personnel and the quantitative assessment, were taken as the control group from January to December in 2013, and from January 20 to December 15 in December. Before and after intervention in Tianjin Haihe Hospital inpatient antibacterial drugs before use of clinical microbiological specimens submission. Results Among the inpatients surveyed, the detection rates of the control group and the intervention group were 69.41% and 74.11% respectively, with a significant difference (P <0.01). There were 12,881 cases with 2 298 cases of restricted grade and special class of therapeutic antibacterials, respectively. The rates of delivery were 78.9 2% and 89.77% respectively. The hospital restricted level and special class of antimicrobial agents in patients, before and after the intervention rate was found, the differences were statistically significant (P <0.01). Conclusion Intervention can improve the rate of clinical pathogenic microbiological specimens.