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Efficacy of active MRSA screening and comprehensive prevention measures for infection control in surgical patients
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Clinical Infectious Diseases
- Issue:
- 5
- DOI:
- 10.3760/cma.j.issn.1674-2397.2019.05.009
- Key Word:
- 抗甲氧西林金黄色葡萄球菌;感染控制;主动筛查;防控;医院感染;Methicillin-resistant Staphylococcus aureus;Infection control;Active screening;Prevention and control;Nosocomial infection
Abstract： 目的 探讨耐甲氧西林金黄色葡萄球菌(Methicillin-resistant Staphylococcus aureus,MRSA)主动筛查及综合防控对外科手术患者MRSA感染控制的作用.方法 选取2016年1月至2018年12月浙江省立同德医院外科的12 606例患者为研究对象.以2017年1月至2018年12月入院的8 700例患者为干预组,实施MRSA主动筛查,并对筛查结果阳性的患者进行综合防控措施的干预.以2016年1月至12月入院的3 906例患者为常规对照组.比较两组患者清洁切口手术部位感染率、清洁切口手术部位各类细菌感染发生率、预防抗菌药物使用率的情况.采用SPSS 19.0软件对数据进行分析.结果 对照组患者清洁切口手术部位的感染率和预防抗菌药物使用率分别为0.77%和31.49%,干预组患者清洁切口手术部位的感染率、预防抗菌药物使用率分别下降至 0.21%和25.49%,两组比较差异均具有统计学意义(χ2 ＝22.378和48.770,P值均＜0.01).两组患者清洁切口手术部位感染主要细菌均为MRSA,其中干预组患者清洁切口手术部位MRSA感染的发生率为0.69‰,低于对照组的2.82‰,两组比较差异具有统计学意义(χ2 ＝9.052,P＜0.01).结论 对外科手术患者实施MRSA主动筛查联合综合防控措施可减少清洁切口手术部位MRSA感染和清洁切口手术预防抗菌药物的使用,节约医疗资源.
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