The role of optimizing the procedures of going out for examination in the prevention and control of multidrug-resistant organism in nosocomial infection_West China Medical Journal

Authors：

TANG Guifen ¹ , CHEN Guojian ² ,  XU Shilan ³

1. Central Transportation Department, Shangjin Nanfu Hospital, Chengdu, Sichuan 611731, P. R. China;
2. Department of Hospital Infection Management, Shangjin Nanfu Hospital, Chengdu, Sichuan 611731, P. R. China;
3. Infection Management Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

XU Shilan, Email: 1245787345@qq.com

Keywords：

Multidrug-resistant organism; Going out for examination; Central transport; Prevention and control of nosocomial infection

DOI：

10.7507/1002-0179.201911262

Video：

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Objective To optimize procedures of going out for examination for patients with multidrug-resistant organism, strengthen prevention and control management of nosocomial infection, and prevent nosocomial infection.Methods Patients with multidrug-resistant organism who went out for examination were selected from April to November 2018. April to July 2018 (before implementation) was process construction stage, and August to November 2018 (after implementation) was process optimization implementation stage. In April 2018, process and management system of going out for multidrug-resistant organism patients were formulated, training of transporters was strengthened, and measures such as checklist identification, accompany patients for examination, patient handover, isolation and protection, and disinfection of materials were implemented, to realize the infection prevention and control management in the whole process of going out for multidrug-resistant organism patients. We compared relevant indicators before and after implementation.Results A total of 262 cases times of patients with multidrug-resistant organism were included, including 134 cases times before implementation and 128 cases times after implementation. Compared with before implementation, the hand hygiene, wearing gloves, disinfection of inspection instruments and articles, patient transfer, isolation measures in waiting process (special elevator, isolation after waiting for inspection, arrange inspection time reasonably), education and training after implementation improved(P<0.05). Before and after implementation, the Methicillin resistant staphylococcus aureus detection rate difference was statistically significant (P<0.05).Conclusions The optimization of procedures of examination for patients with multidrug-resistant organism can increase implementation rate of indirect indicators such as hand hygiene, disinfection of inspection instruments and articles, isolation and protection, education and training in the prevention and control of multidrug-resistant organism in nosocomial infection. And it is important for the prevention and control of multi-disciplinary collaboration of multidrug-resistant organism.

Citation： TANG Guifen, CHEN Guojian, XU Shilan. The role of optimizing the procedures of going out for examination in the prevention and control of multidrug-resistant organism in nosocomial infection. West China Medical Journal, 2021, 36(3): 369-373. doi: 10.7507/1002-0179.201911262 Copy

1.	孟秀娟, 吴安华. 如何应对多重耐药菌医院感染的严峻挑战. 中国感染控制杂志, 2019, 18(3): 185-192.
2.	乔甫, 黄文治, 宗志勇. 多重耐药菌感染防控的意义与发展趋势. 中国护理管理, 2019, 19(8): 1129-1134.
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4.	陈志伟, 赖英, 邓宇聪. 集束化干预措施对某医院综合重症监护室多重耐药菌防控效果的研究. 华西医学, 2019, 34(3): 267-271.
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15.	王海英, 郑振杰, 徐金美. 精细化管理在多重耐药菌防控中的应用分析. 基层医学论坛, 2017, 21(18): 2330-2331.
16.	曾芬兰, 邓宁, 张媚. 标识在麻醉恢复室安全管理中的应用与体会. 护士进修杂志, 2013, 28(17): 1554-1555.
17.	梁燕宓, 黄霄. 多重耐药菌目标性监测及护理管理对策. 护士进修杂志, 2014, 29(3): 219-220.
18.	鲁海蜃, 刘淑运, 陶梦琪, 等. 流程再造在多部门参与多重耐药菌感染防控中的效果. 中国感染控制杂志, 2018, 17(3): 247-251.

1. 孟秀娟, 吴安华. 如何应对多重耐药菌医院感染的严峻挑战. 中国感染控制杂志, 2019, 18(3): 185-192.
2. 乔甫, 黄文治, 宗志勇. 多重耐药菌感染防控的意义与发展趋势. 中国护理管理, 2019, 19(8): 1129-1134.
3. 缪玉秀, 高焕新, 许蜜. 精益管理在多重耐药菌医院感染预防与控制中的应用研究. 实用临床医药杂志, 2017, 21(19): 207-209.
4. 陈志伟, 赖英, 邓宇聪. 集束化干预措施对某医院综合重症监护室多重耐药菌防控效果的研究. 华西医学, 2019, 34(3): 267-271.
5. 谭善娟, 李玲, 邱蔓, 等. 多学科协作联合集束化管理对ICU多重耐药菌感染预防的效果. 中国感染控制杂志, 2018, 17(2): 156-159.
6. 孙睿, 陈丽萍, 肖亚雄, 等. 多学科协作管理模式在多重耐药菌管理工作中的实践及持续改进效果分析. 华西医学, 2019, 34(3): 256-261.
7. 郭广芹, 董玉敏, 高文杰, 等. 多部门协作控制多重耐药菌医院感染的研究. 转化医学杂志, 2015, 4(3): 151-153, 160.
8. 徐祥浓, 李光, 杨天明, 等. 多重耐药菌医院感染防控中多部门联合干预的效果观察. 临床医学工程, 2016, 23(7): 967-968.
9. 刘璐璐, 牟作峰, 杨会香, 等. 重症监护病房多重耐药菌感染的现状及综合干预对策. 护理研究, 2015, 29(1B): 144-147.
10. 朱亚丽, 孙岚, 黄蔚萍, 等. 多重耐药菌感染患者外出检查的管理. 护理实践与研究, 2014, 11(9): 98-99.
11. 王洪智, 于莉薇, 李凌云. 中央运输工作在护理工作中的应用. 中华现代护理杂志, 2014, 20(24): 3120-3123.
12. 李春辉, 吴安华. MDR、XDR、PDR 多重耐药菌暂行标准定义−国际专家建议. 中国感染控制杂志, 2014, 13(1): 62-64.
13. 中华人民共和国国家卫生健康委员会. 医院感染管理质量控制指标(2015年版). (2015-03-31)[2020-03-04]. http://www.docin.com/p-1982792900.html.
14. 黄勋, 邓子德, 倪语星, 等. 多重耐药菌医院感染预防与控制中国专家共识. 中国感染控制杂志, 2015, 14(1): 1-9.
15. 王海英, 郑振杰, 徐金美. 精细化管理在多重耐药菌防控中的应用分析. 基层医学论坛, 2017, 21(18): 2330-2331.
16. 曾芬兰, 邓宁, 张媚. 标识在麻醉恢复室安全管理中的应用与体会. 护士进修杂志, 2013, 28(17): 1554-1555.
17. 梁燕宓, 黄霄. 多重耐药菌目标性监测及护理管理对策. 护士进修杂志, 2014, 29(3): 219-220.
18. 鲁海蜃, 刘淑运, 陶梦琪, 等. 流程再造在多部门参与多重耐药菌感染防控中的效果. 中国感染控制杂志, 2018, 17(3): 247-251.

West China Medical Journal

The role of optimizing the procedures of going out for examination in the prevention and control of multidrug-resistant organism in nosocomial infection

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