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目的了解2011年3月-2013年3月医院结核病患者多药耐药菌(MDROs)感染的预防及隔离状况,为提高医院感染控制质量提供参考方案。方法对医院医务人员、检出MDROs感染的结核病住院患者相关知识及预防与隔离进行现场调查问卷,并调查预防隔离措施实施前后消毒隔离质量管理状况,对所有数据应用SPSS13.0进行统计分析。结果医师、护理人员及患者的MDROs感染相关知识知晓率分别为100.0%、75.0%、2.0%,知晓率对比,差异有统计学意义(P<0.05);医师手卫生正确率、依从率均高于护理人员,分别为85.00%、50.00%和60.00%、30.00%,差异有统计学意义(P<0.05);预防隔离措施后与实施前在医务人员管理、环境管理、医疗器械与用品管理的总质量评分对比,差异均有统计学意义(P<0.05)。结论医院结核病患者MDROs感染相关知识较缺乏,医护人员预防隔离措施的实施质量有待提高。
Objective To understand the prevention and isolation of multidrug-resistant tuberculosis (MDROs) in hospital from March 2011 to March 2013 and provide a reference for improving the quality of nosocomial infection control. Methods The questionnaires were collected from hospital medical staff, knowledge of hospitalized patients with MDROs infection and in prevention and isolation of inpatients with MDROs infection. The quality management of disinfection and isolation before and after preventive measures were investigated, and SPSS 13.0 was used for statistical analysis of all data. Results The awareness rate of MDROs infection among physicians, nurses and patients was 100.0%, 75.0% and 2.0%, respectively, and the difference was statistically significant (P <0.05). The accuracy rate and compliance rate of physician hand hygiene were both high The difference was statistically significant (P <0.05) for the nursing staff, respectively, 85.00%, 50.00%, 60.00% and 30.00%, respectively. After preventive measures were implemented, the medical staff, environmental management, medical equipment and supplies management The total quality score comparison, the differences were statistically significant (P <0.05). Conclusion There is a lack of relevant knowledge about MDROs infection in hospitalized TB patients, and the quality of preventive measures for health care workers needs to be improved.