首页|视频监控联合荧光标记在预防多重耐药菌接触传播中的应用

视频监控联合荧光标记在预防多重耐药菌接触传播中的应用

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目的 探讨视频监控联合荧光标记在预防MDRO接触传播预防中的应用价值.方法 将2022年5月-2023年5月医院重症监护病房医务人员及患者作为对照组,2023年5月-2024年5月重症监护病房医务人员及患者作为观察组.对照组采用常规方法对多重耐药菌院内感染进行管理,观察组在常规方法的基础上采用视频监控联合荧光标记方法进行管理.对2组病区环境清洁消毒质量、手卫生执行质量进行比较与分析.结果 干预后观察组患者MDRO检出率显著低于对照组,差异有统计学意义(P<0.05),而物体表面荧光标记清除率、各类医务人员手卫生依从率、手卫生的正确率均高于对照组,护士、实习生、工勤的卫生依从率及正确率显著高于对照组,差异均有统计学意义(P<0.05).结论 使用视频监控联合荧光标记检查方法可以提高病区环境清洁消毒质量,手卫生的规范性,在MDRO接触传播预防措施质量控制中有显著效果,可以在临床中推广.
Application of video surveillance combined with fluorescent labeling in the prevention of contact transmission of multi-drug resistant organism
Objective To explore the application value of video surveillance combined with fluorescent labeling in preventing contact transmission of multi-drug resistant organism(MDRO).Methods Medical staff and patients in ICU of the hospital from May 2022 to May 2023 were selected as the control group,and medical staff and patients in ICU from May 2023 to May 2024 were selected as the observation group.The control group was managed by the conventional methods for MDRO nosocomial infection,and the observation group was managed by the method of video surveillance combined with fluorescent labeling on the basis of the conventional method.The quality of environmental cleaning and disinfection and the quality of hand hygiene implementation in the two groups were compared and analyzed.Results The detection rate of multi-drug-resistant organism(MDRO)in patients in the observation group after intervention was significantly lower than that in the control group,and the differences were all statistically significant(P<0.05),while the clearance rate of fluorescent markers on the surface of objects,the compliance rate of various types of medical personnel's hand hygiene,and the correct rate of hand hygiene were higher than those in the control group,and the compliance rate and correct rate of nurses,interns and workmen were significantly higher than those in the control group,and the differences were all statistically significant(P<0.05).Conclusions The use of video surveillance combined with fluorescent marker inspection method can improve the quality of cleaning and disinfection in the ward environment and the standardization of hand hygiene,which has a significant effect in the quality control of multi-drug-resistant organism(MDRO)contact transmission prophylaxis,and can be promoted in clinical practice.

video surveillancefluorescent labelingmulti-drug resistant organismquality controlhand hygiene

杨娜、夏加伟、冷艳平、钱丽云、张云丽、刘莉

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大理大学护理学院,云南 大理 671000

昆明市第三人民医院/云南省传染性疾病临床医学中心重症医学科,云南 昆明 650041

视频监控 荧光标记 多重耐药菌 质量控制 手卫生

2024

云南医药
中华医学会云南分会

云南医药

影响因子:0.459
ISSN:1006-4141
年,卷(期):2024.45(6)