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中文摘要: 目的:评价某院通过实施持续干预措施对抗菌药物治疗前病原学送检率改善的效果。方法:以该院住院期间接受抗菌药物治疗的患者为对象,2022年上半年的住院患者为干预前组,2022年7月-2023年6月期间采取一系列干预措施,2023年下半年的住院患者为干预后组,对比分析干预前后两组抗菌药物治疗前病原学送检率、重点药物联合使用之前的病原学送检率,以及医院感染诊断相关的病原学送检率,并对培训前后医务人员病原学送检相关知识应答合格率进行评价。结果:共纳入治疗性抗菌药物使用患者数14 234例,其中干预前组4 739例,干预后组9 385例。持续干预措施实施后,医务人员抗菌药物治疗前病原学送检意识不断提高,全院、外科系统及内科系统抗菌药物治疗前病原学总送检率分别为:65.10%、64.74%、63.70%,高于干预前的57.27%、46.66%、67.29%,差异均有统计学意义(P < 0.05);干预后,全院重点药物联用前送检率达到97.96%,高于干预前的85.45%,差异有统计学意义(P < 0.05);而全院医院感染诊断相关送检率干预前后无明显变化、差异无统计学意义(P>0.05)。通过送检专项培训,考核合格率由培训前的60.13%提高到89.36%,知晓率显著提高(χ2=68.156,P < 0.001)。结论:持续干预措施的实施使全院抗菌药物治疗前病原学送检率改善效果显著,但医院感染诊断相关送检率未显著提高,说明还需进一步实施有针对性的措施。
Abstract:Objective:To evaluate the effect of implementing continuous interventions to improve the rate of antimicrobial pre-treatment pathogenicity delivery in a certain hospital. Methods:Patients who used antimicrobial drugs therapeutically during hospitalisation in the hospital were taken as the study subjects,and the inpatients in the first half of 2022 were the pre-intervention group,and a series of interventions were carried out from July 2022 to June 2023,and the inpatients in the second half of 2023 were the post-intervention group,and the rates of antimicrobial drug pre-treatment pathogenicity detection before and after the interventions were compared and analysed,as well as the rates of pathogenicity detection related to hospital infection diagnosis. and the rate of pathogenicity delivery related to hospital infection diagnosis. We also evaluated the response rate of medical personnel before and after the training. Results:A total of 14,234 patients were included in the therapeutic antimicrobial drug use,of which 4,739 cases were in the pre-intervention group and 9,385 cases were in the post-intervention group. After the implementation of the continuous intervention measures,the awareness of the medical staff of antimicrobial drug pre-treatment pathogenesis delivery and inspection was continuously improved,and the total pre-treatment antimicrobial drug pathogenesis delivery and inspection rates in the whole hospital,the surgical system,and the internal medicine system were 65.10%,64.74%,63.70%,respectively,which were higher than the pre-intervention rates of 57.27%,46.66%,and 67.29%,with statistically significant differences(P < 0.05). After the intervention,the hospital-wide pre-treatment sentinel rate of the pre-treatment sentinel rate of key drug combinations reached 97.96%,which were higher than the pre-intervention rates of 85.45%,with statistically significant differences(P < 0.05),and the Hospital-wide hospital infection diagnosis-related delivery rate before and after the intervention did not significantly improve,the difference is not statistically significant(P > 0.05)outside. Through the special training of sending the test,the rate of passing the test increased from 60.13% before the training to 89.36%,and the knowledge rate was significant(χ2=68.156,P < 0.001). Conclusion:The implementation of continuous interventions led to a significant improvement in the rate of antimicrobial pre-treatment pathogenetic delivery of antimicrobial drugs in the whole hospital,but the rate of hospital infection diagnosis-related delivery did not significantly increase,indicating that further targeted measures need to be implemented.
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基金项目:江苏省医院协会医院管理创新研究课题(JSYGY-3-2020-756) 江苏省医院协会医院管理创新研究课题(JSYGY-3-2020-756)
引用文本:
樊春凤,茆广绪,姚 瑶,范桂华,毕树英,张 彤*.持续干预措施对抗菌药物治疗前病原学送检率改善效果评价△[J].江苏卫生事业管理,2025,36(1):70-74.
FAN Chunfeng,MAO Guangxu,YAO Yao,FAN Guihua,BI Shuying,ZHANG Tong*.Evaluation of the Effectiveness of Sustained Interventions in Improving the Rate of Antimicrobial Pre-treatment Pathogenetic Deliveries△[J].Jiangsu Health System Management,2025,36(1):70-74.
樊春凤,茆广绪,姚 瑶,范桂华,毕树英,张 彤*.持续干预措施对抗菌药物治疗前病原学送检率改善效果评价△[J].江苏卫生事业管理,2025,36(1):70-74.
FAN Chunfeng,MAO Guangxu,YAO Yao,FAN Guihua,BI Shuying,ZHANG Tong*.Evaluation of the Effectiveness of Sustained Interventions in Improving the Rate of Antimicrobial Pre-treatment Pathogenetic Deliveries△[J].Jiangsu Health System Management,2025,36(1):70-74.