• 1. Central Transportation Department, Shangjin Nanfu Hospital, Chengdu, Sichuan 611731, P. R. China;
  • 2. Department of Hospital Infection Management, Shangjin Nanfu Hospital, Chengdu, Sichuan 611731, P. R. China;
  • 3. Infection Management Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
XU Shilan, Email: 1245787345@qq.com
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Objective To optimize procedures of going out for examination for patients with multidrug-resistant organism, strengthen prevention and control management of nosocomial infection, and prevent nosocomial infection.Methods Patients with multidrug-resistant organism who went out for examination were selected from April to November 2018. April to July 2018 (before implementation) was process construction stage, and August to November 2018 (after implementation) was process optimization implementation stage. In April 2018, process and management system of going out for multidrug-resistant organism patients were formulated, training of transporters was strengthened, and measures such as checklist identification, accompany patients for examination, patient handover, isolation and protection, and disinfection of materials were implemented, to realize the infection prevention and control management in the whole process of going out for multidrug-resistant organism patients. We compared relevant indicators before and after implementation.Results A total of 262 cases times of patients with multidrug-resistant organism were included, including 134 cases times before implementation and 128 cases times after implementation. Compared with before implementation, the hand hygiene, wearing gloves, disinfection of inspection instruments and articles, patient transfer, isolation measures in waiting process (special elevator, isolation after waiting for inspection, arrange inspection time reasonably), education and training after implementation improved(P<0.05). Before and after implementation, the Methicillin resistant staphylococcus aureus detection rate difference was statistically significant (P<0.05).Conclusions The optimization of procedures of examination for patients with multidrug-resistant organism can increase implementation rate of indirect indicators such as hand hygiene, disinfection of inspection instruments and articles, isolation and protection, education and training in the prevention and control of multidrug-resistant organism in nosocomial infection. And it is important for the prevention and control of multi-disciplinary collaboration of multidrug-resistant organism.

Citation: TANG Guifen, CHEN Guojian, XU Shilan. The role of optimizing the procedures of going out for examination in the prevention and control of multidrug-resistant organism in nosocomial infection. West China Medical Journal, 2021, 36(3): 369-373. doi: 10.7507/1002-0179.201911262 Copy

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