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目的研究ABC分类控制法在医院多重耐药菌感染控制中的应用,确定重点管理范围。方法采用回顾性调查和ABC分类控制方法,对某医院住院患者多重耐药菌感染患者临床资料和病原学检测结果进行了统计分析和ABC分类确认。结果共调查多重耐药菌感染病例132例,根据各组调查数据,按ABC分类控制法确定,多重耐药菌重点控制人群为60岁及其以上年龄患者,重点控制科室分别为骨伤科、肾病科、普外科和肺病科,重点控制菌群为肠杆菌属、葡萄球菌属、埃希菌属、肠球菌属等多重耐药菌菌群。结论采用ABC分类控制法,结合医院感染调查数据,可以明确感染管理重点对象,并能体现医院特点。
Objective To study the application of ABC classification control method in the control of multiple drug-resistant bacterial infections in hospitals and to determine the key management scope. Methods The retrospective investigation and ABC classification method were used to analyze the clinical data and pathogenic results of hospitalized patients with multiple drug-resistant bacterial infections in a hospital and to confirm the results by ABC classification. Results A total of 132 cases of multiple drug-resistant bacterial infections were investigated. According to the survey data of each group, according to the ABC classification control method, the multi-drug resistant bacteria were mainly controlled for patients aged 60 years and above. The key control departments were orthopedics, Department of Nephrology, General Surgery and Department of Pulmonary Diseases, the key control flora Enterobacter, Staphylococcus, Escherichia, Enterococcus and other multi-resistant bacteria flora. Conclusion ABC classification control method, combined with the survey data of hospital infection, can clearly identify the key targets of infection management, and can reflect the characteristics of the hospital.