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目的:分析PDCA管理模式在耐药菌防控工作中的运用。方法:我院在2013年采用常规管理方法,并与2014年-2016年期间采用PDCA管理模式进行比较分析,主要从消毒隔离、个人防护、全年培养标本送检情况、手卫生执行依从性等方面进行分析。结果:医务人员的多重耐药菌检出率、手卫生执行率、消毒合格率、抗菌药物的使用率、治疗性抗生素全院平均送检率、全年培养标本总数及全血标本占所有标本分布比例均与管理前有所改善(P<0.05)。结论:PDCA管理模式在耐药菌的防控方面具有较好的控制效果,可提高医务人员的感染控制意识。
Objective: To analyze the application of PDCA management mode in the prevention and control of drug-resistant bacteria. Methods: The hospital in 2013 using conventional management methods and with the 2014-2016 period using the PDCA management model for comparative analysis, mainly from the disinfection and isolation, personal protection, annual inspection of specimens for submission, hand hygiene compliance Analysis. Results: The detection rate of multidrug-resistant bacteria, execution rate of hand hygiene, pass rate of disinfection, the usage rate of antibacterials, the average delivery rate of therapeutic antibiotics in hospital, the total number of cultured samples and whole blood samples of medical staff accounted for all specimens The proportions of distribution were all improved with those before management (P <0.05). Conclusion: The PDCA management model has a good control effect on the prevention and control of drug-resistant bacteria, which can improve the infection control awareness of medical staff.