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目的:分析研究ICU实施干预前后发生多重耐药菌感染率及经济成本变化。方法:采用回顾性调查方法,设2011年所有ICU患者为对照组,2012年ICU患者为干预组,对两年ICU患者发生多重耐药菌感染期间各项费用及与感染直接费用、感染率进行比较。结果:ICU2012年较2011年医院感染发生率、多重耐药菌医院感染率及医院感染病例中多重耐药菌构成比均有明显降低,感染期间各项总费用及感染相关费用均有明显降低。结论:通过环节质控,持续实施干预措施能降低ICU的医院感染率,降低患者住院费用,减轻医疗保险负担,提高医院医疗保险的符合率。
OBJECTIVE: To analyze the prevalence of multiple drug-resistant bacterial infections and economic costs before and after ICU intervention. Methods: By retrospective survey, all ICU patients in 2011 as the control group, ICU patients in 2012 as the intervention group, two years of ICU patients with multiple drug-resistant bacterial infections and infection during the direct costs and infection rates Compare Results: The incidence of nosocomial infections, multidrug-resistant nosocomial infections and nosocomial infections in ICU in 2012 were significantly lower than those in nosocomial infections in2012. The total costs and costs related to infection during ICU were significantly reduced in2012. Conclusion: Through the quality control and continuous intervention measures, the hospital infection rate of ICU can be decreased, the cost of hospitalization can be reduced, the burden of medical insurance can be reduced, and the coincidence rate of hospital medical insurance can be improved.