摘要
目的 分析多学科协作管理模式对住院患者抗菌药物治疗前病原学送检率的影响.方法 选择2021年3月—2023年3月苏州市相城人民医院重症医学科、神经外科、骨科、呼吸内科、肿瘤科、妇科、产科、儿科共8个临床专科,收治25619例住院患者中10868例使用抗菌药物治疗患者.按干预时间分为多学科协作管理模式干预前(2021年3月—2022年3月),多学科协作管理模式干预后(2022年4月—2023年3月).评估干预前后治疗性、限制级、特殊级、2个或以上重点抗菌药物联合使用前及医院感染诊断相关病原学送检率.结果 与干预前相比,干预后治疗性、限制级、特殊级、联合使用重点抗菌药物使用前病原学送检率和医院感染诊断相关病原学送检率分别为64.99％、58.98％、87.98％、100％和79.80％,高于干预前的54.99％、45.02％、46.86％、92.98％和50.26％,差异均有统计学意义(P<0.05).结论 住院患者抗菌药物治疗前病原学送检率经多学科协作管理模式干预后明显提升.
Abstract
Objective To analyze the effect of multidisciplinary collaborative management model on the rates of pathogenic detection of inpatients before antibiotic treatment.Methods From March 2021 to March 2023,a total of 8 clinical specialties including intensive care medicine,neurosurgery,orthopedics,respiratory medicine,oncology,gynecology,obstetrics and pediatrics were selected in Suzhou Xiangcheng People's Hospital.Among the 25619 hospitalized patients,10868 patients were treated with antibiotics.The intervention time was divided into pre-intervention (from March 2021 to March 2022) and post-intervention (from April 2022 to March 2023) in the multidisciplinary collaborative management mode.The rates of pathogenic detection related to the diagnosis of nosocomial infection were evaluated before and after the intervention,before treatment,restricted grade,special grade,combined use of 2 or more priority antibiotics and before nosocomial infection diagnosis.Results Compared with before intervention,before use treatment,restricted grade,special grade,combined use of priority antibiotics and before nosocomial infection diagnosis,the rates of pathogenic detection after the intervention were 64.99％,58.98％,87.98％,100％ and 79.80％,respectively,which were significantly higher than those before intervention (54.99％,45.02％,46.86％,92.98％,and 50.26％),and the differences were statistically significant (P<0.05).Conclusion After the intervention of multi-disciplinary cooperative management mode,the rates of pathogenic detection of inpatients before antibiotic treatment was significantly increased.
维普
万方数据