针对重症监护环境中的多种耐药生物体的新型预防包;三级护理经验
Majid M Alshamrani1,2,3, Aiman El-Saed1,2,3,4, Mohammed Al Zunitan1,2,3
1Infection Prevention and Control Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
一种新的多药耐药生物体 (MDRO) 捆绑在成人重症监护室 (ICU) 中的感染率略有降低. 这项研究详细介绍了捆绑包.
科学领域:
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
- 医疗流行病学 医疗流行病学
背景情况:
- 医疗保健机构缺乏针对多药耐药生物体 (MDROs) 的标准化预防包.
- 这项研究解决了在重症监护病房 (ICU) 新型MDROs包的需求.
研究的目的:
- 描述一个新的MDRO包的组件,实施过程,合规率和影响.
- 评估MDROs捆绑在降低ICU内的感染率方面的有效性.
主要方法:
- 一项队列研究分析了2019年7月至2022年6月MDRO捆绑组件和MDRO发生率的监测数据.
- 员工对抗微生物药物的使用,环境清洁,接触预防措施和手部卫生的教育先于捆绑实施.
- 数据在捆绑实施期间之前和期间进行了比较.
主要成果:
- 抗菌剂的使用是每100个患者日治疗的57.8天.
- 环境清洁的遵守率为74.8%,接触预防措施为83.8%,手部卫生为86.9%.
- MDRO的发病率从每1万病日的71.8下降到62.0,这是统计学上显著的减少 (p=0.002),主要是在成年人重症监护室.
结论:
- 实施的MDROs包与成年ICU感染率的适度降低有关.
- 提供的详细的方法和定义可以帮助其他医疗机构采用类似的包.
- 可能需要进一步的研究来优化儿科/新生儿ICU的捆绑.
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