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, 吳安華. 如何應對多重耐藥菌醫院感染的嚴峻挑戰. 中國感染控制雜志, 2019, 18(3): 185-192.
2.	喬甫, 黃文治, 宗志勇. 多重耐藥菌感染防控的意義與發展趨勢. 中國護理管理, 2019, 19(8): 1129-1134.
3.	繆玉秀, 高煥新, 許蜜. 精益管理在多重耐藥菌醫院感染預防與控制中的應用研究. 實用臨床醫藥雜志, 2017, 21(19): 207-209.
4.	陳志偉, 賴英, 鄧宇聰. 集束化干預措施對某醫院綜合重癥監護室多重耐藥菌防控效果的研究. 華西醫學, 2019, 34(3): 267-271.
5.	譚善娟, 李玲, 邱蔓, 等. 多學科協作聯合集束化管理對ICU多重耐藥菌感染預防的效果. 中國感染控制雜志, 2018, 17(2): 156-159.
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10.	朱亞麗, 孫嵐, 黃蔚萍, 等. 多重耐藥菌感染患者外出檢查的管理. 護理實踐與研究, 2014, 11(9): 98-99.
11.	王洪智, 于莉薇, 李凌云. 中央運輸工作在護理工作中的應用. 中華現代護理雜志, 2014, 20(24): 3120-3123.
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15.	王海英, 鄭振杰, 徐金美. 精細化管理在多重耐藥菌防控中的應用分析. 基層醫學論壇, 2017, 21(18): 2330-2331.
16.	曾芬蘭, 鄧寧, 張媚. 標識在麻醉恢復室安全管理中的應用與體會. 護士進修雜志, 2013, 28(17): 1554-1555.
17.	梁燕宓, 黃霄. 多重耐藥菌目標性監測及護理管理對策. 護士進修雜志, 2014, 29(3): 219-220.
18.	魯海蜃, 劉淑運, 陶夢琪, 等. 流程再造在多部門參與多重耐藥菌感染防控中的效果. 中國感染控制雜志, 2018, 17(3): 247-251.

1. 孟秀娟, 吳安華. 如何應對多重耐藥菌醫院感染的嚴峻挑戰. 中國感染控制雜志, 2019, 18(3): 185-192.
2. 喬甫, 黃文治, 宗志勇. 多重耐藥菌感染防控的意義與發展趨勢. 中國護理管理, 2019, 19(8): 1129-1134.
3. 繆玉秀, 高煥新, 許蜜. 精益管理在多重耐藥菌醫院感染預防與控制中的應用研究. 實用臨床醫藥雜志, 2017, 21(19): 207-209.
4. 陳志偉, 賴英, 鄧宇聰. 集束化干預措施對某醫院綜合重癥監護室多重耐藥菌防控效果的研究. 華西醫學, 2019, 34(3): 267-271.
5. 譚善娟, 李玲, 邱蔓, 等. 多學科協作聯合集束化管理對ICU多重耐藥菌感染預防的效果. 中國感染控制雜志, 2018, 17(2): 156-159.
6. 孫睿, 陳麗萍, 肖亞雄, 等. 多學科協作管理模式在多重耐藥菌管理工作中的實踐及持續改進效果分析. 華西醫學, 2019, 34(3): 256-261.
7. 郭廣芹, 董玉敏, 高文杰, 等. 多部門協作控制多重耐藥菌醫院感染的研究. 轉化醫學雜志, 2015, 4(3): 151-153, 160.
8. 徐祥濃, 李光, 楊天明, 等. 多重耐藥菌醫院感染防控中多部門聯合干預的效果觀察. 臨床醫學工程, 2016, 23(7): 967-968.
9. 劉璐璐, 牟作峰, 楊會香, 等. 重癥監護病房多重耐藥菌感染的現狀及綜合干預對策. 護理研究, 2015, 29(1B): 144-147.
10. 朱亞麗, 孫嵐, 黃蔚萍, 等. 多重耐藥菌感染患者外出檢查的管理. 護理實踐與研究, 2014, 11(9): 98-99.
11. 王洪智, 于莉薇, 李凌云. 中央運輸工作在護理工作中的應用. 中華現代護理雜志, 2014, 20(24): 3120-3123.
12. 李春輝, 吳安華. MDR、XDR、PDR 多重耐藥菌暫行標準定義?國際專家建議. 中國感染控制雜志, 2014, 13(1): 62-64.
13. 中華人民共和國國家衛生健康委員會. 醫院感染管理質量控制指標(2015年版). (2015-03-31)[2020-03-04]. http://www.docin.com/p-1982792900.html.
14. 黃勛, 鄧子德, 倪語星, 等. 多重耐藥菌醫院感染預防與控制中國專家共識. 中國感染控制雜志, 2015, 14(1): 1-9.
15. 王海英, 鄭振杰, 徐金美. 精細化管理在多重耐藥菌防控中的應用分析. 基層醫學論壇, 2017, 21(18): 2330-2331.
16. 曾芬蘭, 鄧寧, 張媚. 標識在麻醉恢復室安全管理中的應用與體會. 護士進修雜志, 2013, 28(17): 1554-1555.
17. 梁燕宓, 黃霄. 多重耐藥菌目標性監測及護理管理對策. 護士進修雜志, 2014, 29(3): 219-220.
18. 魯海蜃, 劉淑運, 陶夢琪, 等. 流程再造在多部門參與多重耐藥菌感染防控中的效果. 中國感染控制雜志, 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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