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目的观察集束化管理在重症监护病房(ICU)多重耐药菌(MDRO)感染预防中的应用效果。方法选取2013年9月-2014年9月我院ICU患者276例作为对照组,并抽取2015年2月-2016年2月我院ICU治疗中患者292例作为观察组,对照组应用常规管理,观察组采用集束化管理,比较2组MDRO感染率、转归情况、住院时间及日均费用。结果观察组MDRO感染率为14.4%,低于对照组的23.2%,感染转归情况明显优于对照组,差异均有统计学意义(P<0.05);观察组住院时间、日均费用均明显低于对照组,差异均有统计学意义(P<0.05)。结论对ICU治疗中的患者应用集束化管理可有效降低其MDRO感染率,具有较高应用价值。
Objective To observe the effect of cluster management in the prevention of multidrug-resistant bacteria (ICU) infections in intensive care unit (ICU). Methods Seventy-six patients with ICU in our hospital from September 2013 to September 2014 were selected as the control group, and 292 patients in the ICU treatment from February 2015 to February 2016 were selected as the observation group. The control group was treated with routine management, The observation group used cluster management to compare the MDRO infection rate, outcome, hospitalization time and daily average cost in the two groups. Results The infection rate of MDRO in the observation group was 14.4%, which was lower than that of the control group (23.2%). The outcome of the infection was significantly better than that of the control group (P <0.05). The hospitalization time and the average daily cost of the observation group were significantly Lower than the control group, the difference was statistically significant (P <0.05). Conclusions It is of high value to apply cluster management in patients undergoing ICU therapy to reduce the MDRO infection rate.