Effect of precise hand hygiene intervention based on nosocomial infection surveillance system on prevention and control of multidrug-resistant organisms
OBJECTIVE To carry out the dynamic surveillance of multidrug-resistant organisms(MDROs)from in-tensive care unit(ICU)by using nosocomial infection real-time surveillance software,take precise hand hygiene intervention measures and observe the effect on prevention and control of MDROs.METHODS From Jan 2023 to Dec 2023,the nosocomial infection software"Xinglin Nosocomial Infection Real-time Surveillance System"was a-dopted by general department of a three-A general hospital,a whole process online dynamic surveillance was car-ried out from the admission to hospital to the discharge.The precise intervention measures were taken for health care workers,nursing staff,cleaning staff,patients and patients'family as soon as the MDROs infection or colo-nization was detected among the patients.RESULTS The hand hygiene compliance and qualified rate of hand hy-giene of the nursing staff,patients and patients'family were significantly increased after the precise intervention measures were taken(P＜0.05).The incidence of nosocomial infection(9.19％vs.4.47％),the MDROs infection(5.29％vs.1.26％)in particularly,was significantly reduced(P＜0.05).The isolation rates of methicillin-resist-ant Staphylococcus aureus(MRSA),carbapenem-resistant Pseudomonas aeruginosa(CRPA),carbapenem-re-sistant Acinetobacterbaumannii(CRAB)and carbapenem-resistant Enterobacteriaceae(CRE)were decreased(P＜0.05),and the isolation rate of MRSA was significantly decreased(63.64％vs.5.56％).CONCLUSION The dynamic surveillance of MDROs is carried out for ICU patients by using nosocomial infection real-time surveillance software,the precise hand hygiene intervention measure are taken,which can significantly improve the hand hy-giene compliance of the health care workers,patients,patients'family,nursing staff and cleaning staff,reduce the incidence of MDROs infection,and boost the effect of prevention and control of MDROs.
Nosocomial infection surveillanceHand hygieneInterventionMultidrug-resistant organismPre-vention and control
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