The Effects of New Burn Ward Cleaning Methods on Multi-drug Resistant Bacteria Infection_West China Medical Journal

Authors：

 HuangJianqiong , ChenXiaojuan

Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

Keywords：

New system cleaning methods; Burn ward; Multi-drug resistant bacteria infection

DOI：

10.7507/1002-0179.201600479

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Objective To explore the effects of burn ward cleaning methods on multi-drug resistant bacteria infection, in order to improve and optimize the cleaning process and method. Methods From November 2012 to October 2013, the cleaning and disinfection methods in our burn wards were regarded as the traditional cleaning methods, and from November 2013 to October 2014, the cleaning and disinfection methods were called the improved cleaning methods (new system cleaning methods). By retrospective analysis, we compared the infection rates of multi-drug resistant bacteria before and after the implementation of the new system cleaning methods. Results New system methods were used in the ward environment cleaning and disinfection. The infection rate of multi-drug resistant bacteria before and after the implementation of the new system cleaning methods were 12.414‰ and 5.922‰ respectively. The methicillin resistant Staphylococcus aureus infection rate was 7.286‰ and 3.718‰, and the carbon-resistant Pseudomonas aeruginosa infection rate was 2.699‰ and 0.689‰. Both differences were significant (P < 0.05). The carbon-resistant Acinetobacter baumanii infection rate was 2.429‰ and 1.515‰ before and after the implementation of the new methods with no significant difference (P > 0.05). Conclusion Adopting new system to carry out cleaning can effectively reduce the infection rate of multi-drug resistant bacteria in the burn ward, and it is worthy of clinical popularization and application.

Citation： HuangJianqiong, ChenXiaojuan. The Effects of New Burn Ward Cleaning Methods on Multi-drug Resistant Bacteria Infection. West China Medical Journal, 2016, 31(10): 1743-1746. doi: 10.7507/1002-0179.201600479 Copy

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1. 金凤然, 王国伶, 曹淑杰, 等.新型医院保洁全管理模式研究[J].中国消毒学杂志, 2014, 31(6): 658-659.
2. 申正义, 田德.医院感染学[M].北京:中国医药科技出版社, 2007: 826-847.
3. 徐盈斌.烧伤病人发生医院感染的危险因素和预防对策[J].新医学, 2006, 37(7): 435-436.
4. 魏全珍, 张惠珍, 刘丽华.烧伤病区患者创面MRSA医院感染流行的预防与控制[J].中华医院感染学杂志, 2007, 17(7): 816-818.
5. 詹磊.综合性医院医院感染现患率调查与分析[J].中华医院感染学杂志, 2009, 19(7): 752-754.
6. 俞琬如, 张爱珍, 周美凤. ICU医院感染预防与控制[J].中国误诊学杂志, 2002, 2(10): 1541-1542.
7. 张静涛, 高媛, 王立新, 等.重症烧伤层流病房控制多重耐药菌感染的管理体会[J].护士进修杂志, 2012, 27(4): 315-316.
8. Engelhart S, Krizek L, Glasmacher A, et al. Pseudomonas aeruginosa outbreak in a haematology-oncology unit associated with contaminated surface cleaning equipment[J]. J Hosp Infect, 2002, 52(2): 93-98.
9. 卢晓芳, 郑应芳.加强保洁员管理预防医院感染[J].全科护理, 2012, 10(25): 2371.
10. 李建梅, 李翠平, 罗云英.医院清洁工管理模式在清洁质量目标实现中的影响因素分析[J].中国实用医药, 2013, 8(22): 280-281.
11. 吕艳.加强保洁人员管理预防医院感染[J].中华医院感染学杂志, 2009, 19(11): 1424.
12. 雷莉萍, 谭玲玲, 熊继英.保洁员管理在医院感染控制中的作用[J].中华医院感染学杂志, 2012, 22(20): 4601.
13. 傅曼.保洁员在医院感染控制中的现状与对策[J].中华医院感染学杂志, 2011, 21(15): 3232-3233.
14. 胡必杰, 倪晓平, 覃金爱.医院环境物体表面清洁与消毒最佳实践[M].上海:上海科学技术出版社, 2012: 28-29.
15. 章金枝, 李小慧.保洁人员在医院感染管理中的现状分析与管理对策[J].中华医院感染学杂志, 2013, 23(21): 5258-5259.

West China Medical Journal

The Effects of New Burn Ward Cleaning Methods on Multi-drug Resistant Bacteria Infection

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