主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (8): 1126-1129.doi: 10.3969/j.issn.1672-1756.2019.08.002

• 特别策划·多重耐药菌感染防控 • 上一篇    下一篇

护理在防控多重耐药菌的独特作用

蔡虻 刘聚源 邹琪   

  1. 北京医院/国家老年医学中心医院感染管理处,100730
  • 出版日期:2019-08-15 发布日期:2019-08-15
  • 作者简介:蔡虻,硕士,主任护师,医院感染管理处(疾病预防控制处)处长,E-mail:caimeng1125@sina.com

The unique role of nursing in the prevention and control of Multidrug-Resistant Organism

CAI Meng, LIU Juyuan, ZOU Qi   

  1. Department of Infection Prevention and Control, Beijing Hospital, National Center of Gerontology, Beijing, 100730, China
  • Online:2019-08-15 Published:2019-08-15

摘要: 多重耐药菌(MDRO)的流行对医疗质量和患者安全带来了严峻的挑战。预防和控制MDRO传播的核心措施包括感染预防控制与抗菌药物管理,护理人员在其中均起到重要的作用。护理人员是感染防控的重要实践者,护理人员落实MDRO防控最佳实践可以有效减少MDRO感染与定植。聚焦管路护理,采取预先接触隔离措施,实施主动筛查以及基于循证的最佳实践护理措施,可以进一步减少导管相关感染以及有效减少MDRO感染与定植。护理管理者须引导和支持护理人员充分发挥其在防控MDRO的独特作用,落实MDRO感染防控措施,积极参与抗菌药物管理,持续监测措施落实依从性、评价MDRO防控效果,探索适合我国国情防控MDRO的有效策略。

关键词: 多重耐药菌;感染预防与控制;护理

Abstract: The prevalence of Multidrug-Resistant Organism (MDRO) brings a severe challenge to medical quality and patient safety. The core measures to prevent and control the spread of MDROs include contact precaution and antibiotic stewardship, in which nurses play an important role. Nursing staff is an important practitioner of infection prevention and control. Nursing staff can effectively reduce MDRO infection and cololnization by implement MDROs prevention and control best practices. Focusing on catheter care, precontact isolation measures, proactive screening, and evidence-based best practice care can further reduce catheter-related infections and effectively reduce MDRO infection and cololnization. In this case, nursing administrators should guide and support nursing staff to give full play to their unique role in prevention and control of MDROs, implement MDRO infection prevention and control measures, actively participate in antibiotic stewardship, implement continuous monitoring to comply with the compliance, evaluation MDRO prevention and control effects, and explore effective strategies to prevent and control MDROs in China.

Key words: Multidrug-Resistant Organism; infection prevention and control; nursing

中图分类号: 

  • R47