MTP干预法在外科手术部位医院感染控制中应用体会.docVIP

MTP干预法在外科手术部位医院感染控制中应用体会 　　[摘要] 目的 探讨监测、培训、计划（MTP）干预法在外科手术部位医院感染控制中的应用效果。 方法 2011年1～12月各科室外科手术共7978例，利用数据库随机抽取2528例作为观察组，实施MTP干预法对受试者外科手术部位进行医院感染控制；2010年1～12月外科手术病例7664例中随机抽取2000例作为对照组，应用常规管理办法，比较两组的感染率。 结果 观察组的感染率为3.6%，明显低于对照组的8.9%（P＜0.05）。干预期间随着干预的延续，感染率不断下降，呈负相关。 结论 MTP干预法在外科手术部位医院感染控制中有积极的作用。 　　[关键词] MTP干预；外科手术；医院感染控制；应用体会 　　[中图分类号] R61[文献标识码] A[文章编号] 1674-4721（2014）04（c）-0046-03 　　 　　Application experience of MTP intervention in the control of surgical operative site nosocomial infection 　　WEN Fang DU Feng 　　Changsha Hospital of Traditional Chinese Medicine/Changsha Eighth Hospital,Changsha410000,China 　　[Abstract] Objective To investigate application effect of monitoring,training and planning(MTP)intervention in the control of surgical operative site nosocomial infection. Methods A total of 7978 cases of surgery were performed in all the departments from January to December 2011, of which 2528 cases were randomly selected as observation group,MTP intervention method was implemented to control the surgical operative site nosocomial infection in observation group.A total of 7664 cases of surgery were performed from January to December 2010,of which 2000 cases were randomly selected as control group,conventional management method was used in control group.The infection rate of two groups was compared. Results The infection rate of observation group was 3.6%,significantly lower than that of control group(8.9%)(P＜0.05).During the intervention period,as the intervention proceeded,the infection rate was declining continuously,showed a negative correlation. Conclusion MTP intervention plays an active role in the control of surgical operative site nosocomial infection. 　　[Key words] MTP intervention;Surgical operation;Nosocomial infection;Application experience 　　外科手术属于侵入性治疗，病体切口易因感染而影响手术效果，给患者带来痛苦。医院的感染管理目前已被提上医疗管理的重要日程，感染管理的质量与医院综合实力的体现息息相关，直接影响医疗综合水平、患者满意度、医患关系等[1-2]，因此，选择科学、有效的干预管理措施提高外科手术部位医院感染控制效果具有重要意义。本文主要探讨监测、培训及计划（monitoring，training and planning，MTP）干预法的应用方