Observation of active full-coverage screening and pre-contact isolation in the prevention and control of multi-drug-resistant bacteria infection in ICU
Objective To observe the effect of active full-coverage screening and pre-contact isolation in the prevention and control of multi-drug-resistant bacterial infections in intensive care unit(ICU).Methods Four hundred patients admitted to ICU medical units of our hospital from August 2021 to July 2022 were set as the control group,and 400 patients admitted to ICU medical units from August 2022 to June 2023 were set as the experimental group.The patients in the control group were implemented routine screening for multi-drug-resistant bacteria and contact isolation program,and the patients in the experimental group were implemented the combination management mode of proactive full-coverage screening and pre-contact isolation.The clinical indexes of the two groups after intervention were compared.Results Compared with the control group,the scores of knowledge,attitude and practice for prevention and control of multi-resistant bacteria infection in ICU medical staff in the experimental group were significantly higher,the incidence rate of multi-resistant bacteria infection was significantly lower,and the percentage of carbapenem-resistant Enterobacteriaceae(CRE)infection was significantly higher(P＜0.05).The susceptibility and the specificity for multi-resistant bacteria of proactive full-coverage screening were 93.33％and 99.00％,respectively.Conclusion Active full-coverage screening has a high value in the early identification of multi-drug-resistant bacteria carriers,and the combination management mode of active full-coverage screening and pre-contact isolation can help to improve the knowledge,attitude and practice for prevention and control of multi-drug-resistant bacteria infections in ICU medical staff,and reduce the probability of multi-drug-resistant bacteria infections in ICU patients.
full-coverage screeningpre-contact isolationintensive care unit(ICU)multi-drug-resistant bacteria infectionprevention and control
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