精细化管理在多重耐药菌预防与控制中的成效研究

目的探讨精细化管理方法在多重耐药菌（MDRO）预防与控制中的成效。方法2013年，运用精细化管理的理念与方法,多学科协作，规范MDRO管理的各个环节；比较2012年和2013年（精细化管理前后）MDRO医院感染情况。结果2013年MDRO医院感染所占比率为36.65%（70/191），低于2012年的48.44%（62/128）；2013年医院感染报告率、接触隔离执行率和医务人员手卫生依从率分别为80.00%、70.16%、75.86%，高于2012年的32.25%、28.13%、44.09%，差异均有统计学意义（均P＜0.05）。结论实施精细化管理可增强医护人员MDRO医院感染防控意识，有利于医院感染管理质量持续改进。

Effectiveness of refined management on the prevention and control of multidrug resistant organisms

Objective To evaluate the effectiveness of refined management on the prevention and control of multi-drug-resistant organisms （MDROs）.Methods Refined management concept and methods were adopted to stand-ardize all aspects of management of MDROs,healthcare-associated infection （HAI）caused by MDROs in 2012 （be-fore refined management）and 2013 （after refined management ）was compared.Results The percentage of MDRO infection in 2013 was lower than 2012 （36.65%[70/191 ]vs 48.44%[62/128]）;rate of HAI reporting ,contact precautions implementation,and hand hygiene compliance in 2013 were all higher than 2012 （80.00% vs 32.25% ;70.16% vs 28.13%;75.86% vs 44.09%,all P 〈0.05）.Conclusion Implementation of refined management can improve health care workers’awareness of prevention and control of MDRO HAI ,and promote continuous im-provement of HAI management quality.