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目的加强细节管理,有效对多药耐药菌医院感染重点部门的交叉感染进行预防与控制。方法加强医务人员预防控制教育与技能培训;建立耐药菌报告及反馈制度;实施有效的隔离、清洁和消毒措施;加强侵入性操作相关感染的预防控制干预;加强医务人员手卫生;合理使用抗菌药物。结果 2010年发生多药耐药菌医院感染患者为238例,感染率为21.0%,2011年为182例,感染率为17.3%;由于医务人员提高了对多药耐药菌预防控制的认识,及时采取干预措施,有效地防止了多药耐药菌株的进一步传播,重点科室交叉感染率明显降低,未出现多药耐药菌医院感染暴发流行事件。结论加强在多药耐药菌预防控制中的细节管理对医院感染预防与控制具有重要作用。
Objective To strengthen the detail management and effectively prevent and control the cross-infection of multidrug-resistant bacteria in key departments of hospital infection. Methods to strengthen prevention and control of medical personnel education and skills training; Establishment of drug-resistant bacteria reporting and feedback system; Implement effective isolation, cleaning and disinfection measures; To strengthen the prevention and control interventions for invasive operation-related infections; To strengthen medical staff hand hygiene; Rational use of antibacterial drug. Results In 2010, there were 238 cases of hospital-acquired multidrug-resistant bacterial infections with an infection rate of 21.0% and 182 cases in 2011 with an infection rate of 17.3%. As the medical staff raised their awareness of the prevention and control of multi-drug resistant bacteria, Timely intervention to effectively prevent the spread of multi-drug resistant strains further cross-infection in key departments decreased significantly, there is no multi-drug resistant hospital outbreaks of nosocomial infections. Conclusion Strengthening the detailed management in the prevention and control of multidrug-resistant bacteria plays an important role in the prevention and control of nosocomial infections.