单位:[1]Naning Drum Tower Hospital Affiated to Nanjing University Medical School, Nanjing 210008, China[2]School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China[3]Department of Nosocomial Infection Management, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China感染科党政职能科室医院感染管理科华中科技大学同济医学院附属同济医院
ObjectiveContact precautions, especially the initiation of isolation, are important measures to prevent and control multidrug-resistant organisms (MDROs). However, the implementation in clinical practice remains weak. This study aimed to analyze the impact of multidisciplinary collaborative intervention on isolation implementation in multidrug-resistant infection, and determine the factors that affect the implementation of isolation measures.MethodsA multidisciplinary collaborative intervention related to isolation was conducted at a teaching tertiary hospital in central China on November 1, 2018. The information of 1338 patients with MDRO infection and colonization at 10 months before and after the intervention was collected. Then, the issuance of isolation orders was retrospectively analyzed. Univariate analysis and multivariate logistic regression analysis were performed to analyze the factors that affected the isolation implementation.ResultsThe overall issuance rate of isolation orders was 61.21%, which increased from 33.12% to 75.88% (P<0.001) after the implementation of the multidisciplinary collaborative intervention. The intervention (P<0.001, OR=0.166) was a promoting factor for the issuance of isolation orders, in addition to the length of stay (P=0.004, OR=0.991), department (P=0.004), and microorganism (P=0.038).ConclusionThe isolation implementation remains far lower than policy standards. Multidisciplinary collaborative interventions can effectively improve the compliance to isolation measures implemented by doctors, thereby promoting the standardized management of MDROs, and providing reference for further improving the quality of hospital infection management.
基金:
This project was supported by the National Natural Science Foundation of China (No. 71473098).
第一作者单位:[1]Naning Drum Tower Hospital Affiated to Nanjing University Medical School, Nanjing 210008, China
通讯作者:
推荐引用方式(GB/T 7714):
Wang Ying,Zhang Xin-ping,Lai Xiao-quan,et al.Impact of Multidisciplinary Collaborative Intervention on Isolation Implementation in Prevention and Control of Multi-drug Resistance Infection[J].CURRENT MEDICAL SCIENCE.2023,43(1):198-205.doi:10.1007/s11596-023-2709-6.
APA:
Wang, Ying,Zhang, Xin-ping,Lai, Xiao-quan&Wang, Xue-mei.(2023).Impact of Multidisciplinary Collaborative Intervention on Isolation Implementation in Prevention and Control of Multi-drug Resistance Infection.CURRENT MEDICAL SCIENCE,43,(1)
MLA:
Wang, Ying,et al."Impact of Multidisciplinary Collaborative Intervention on Isolation Implementation in Prevention and Control of Multi-drug Resistance Infection".CURRENT MEDICAL SCIENCE 43..1(2023):198-205