【摘要】 目的探讨医院感染控制监督管理在减少院内感染中的应用效果。方法选取2018年12月～2019年5月在我院住院治疗的850例患者作为研究对象,根据感染控制监督管理方案的不同,将患者分为观察组(n=420)和对照组(n=430)。对照组患者采用常规的护理及治疗方案,并按医院预防感染标准工作。观察组患者在对照组基础上,由医院感染控制人员对医务工作人员进行医院感染控制监督管理。比较两组患者的院内感染发生率、医务人员感控工作质量评分及多重耐药菌(MDROs)的检出率。结果观察组患者的院内感染发生率低于对照组,差异有统计学意义(P<0.05);观察组医务人员的理论知识、无菌观念、服务质量、手卫生情况评分及感控工作质量总评分均高于对照组,差异有统计学意义(P<0.05);观察组患者的金黄色葡萄球菌、大肠埃希菌和肺炎克雷伯菌肺炎亚菌MDROs检出率均低于对照组,差异有统计学意义(P<0.05)。结论对医务人员的感控监督能显著降低院内感染的发生率,提高医务人员感控工作质量,减少MDROs的检出率。更多还原

【Abstract】 Objective To explore the application effect of nosocomial infection control supervision and management in reducing nosocomial infection. Methods A total of 850 inpatients in our hospital from December 2018 to may 2019 were selected as the research objects. Patients were divided into observation group(n=420) and control group(n=430)according to the different supervision and management schemes of infection control. The control group adopted routine nursing and treatment plan and worked according to the standard of hospital infection prevention. On the basis of the control group, the observation group was supervised and managed by the nosocomial infection control medical staff. The incidence of nosocomial infections, the quality of work quality of medical staff, and the detection rate of multidrug-resistant organisms(MDROs) were compared between the two groups. Results The incidence of nosocomial infection in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05).The scores of theoretical knowledge, aseptic concept, service quality, hand hygiene and total score of work quality in sense control of the medical staff in the observation group were higher than those in the control group, with statistically significant differences(P<0.05). The detection rates of Staphylococcus aureus, Escherichia coli and Klebsiella pneumoniae MDROs in the observation group were all lower than those in the control group, with statistically significant differences(P<0.05). Conclusion The supervision of medical staff can significantly reduce the incidence of nosocomial infections, improve the quality of medical staff, and reduce the detection rate of MDROs.更多还原