The Effect of Multidisciplinary Collaborative Management on the Rates of Pathogenic Detection Before Antibiotic Therapy
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.