Effect of ECRS management mode on nosocomial infection prevention and control quality of multidrug-resistant organisms_West China Medical Journal

Authors：

ZHANG Min ¹ , HUANG Yaqin ² , XUAN Shanshan ³ , LIU Ying ⁴ ,  ZHOU Bin ¹

1. Department of Nosocomial Infection Management, the First Hospital of Nanchang, Nanchang, Jiangxi 330008, P. R. China;
2. Department of Gastroenterology, the First Hospital of Nanchang, Nanchang, Jiangxi 330008, P. R. China;
3. Department of Endocrinology, the First Hospital of Nanchang, Nanchang, Jiangxi 330008, P. R. China;
4. Department of Hepatobiliary and Pancreatic Surgery, the First Hospital of Nanchang, Nanchang, Jiangxi 330008, P. R. China;

Corresponding author：

ZHOU Bin, Email: 1291558235@qq.com

Keywords：

Multidrug-resistant organism; prevention and control; nosocomial infection management; ECRS management mode

DOI：

10.7507/1002-0179.202211103

Video：

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Objective To evaluate the effect of ECRS management model on the quality of prevention and control of hospital infection with multidrug-resistant organisms (MDROs). Methods The data related to the prevention and control of MDROs in the First Hospital of Nanchang in 2020 and 2021 were retrospectively collected. The hospital implemented routine MDRO infection prevention and control management in accordance with the Expert Consensus on the Prevention and Control of Multi-drug Resistant Bacteria Nosocomial Infection in 2020. On this basis, the hospital applied the four principles of the ECRS method to cancel, combine, rearrange and simplify the MDRO infection prevention and control management. The detection rate of MDROs on object surfaces, the incidence rate of hospital infection of MDROs, the compliance rate of hand hygiene, the implementation rate of contact isolation prevention and control measures, and the pass rate of MDRO infection prevention and control education assessment were analyzed and compared between the two years. Results The detection rate of MDROs on the surfaces in 2021 was lower than that in 2020 (9.39% vs. 31.63%). The hospital-acquired MDRO infection rate in 2021 was lower than that in 2020 (1.18% vs. 1.46%). The hand hygiene compliance rates of medical staff, workers and caregivers in 2021 were higher than those in 2020 (90.99% vs. 78.63%, 73.51% vs. 45.96%, 70.96% vs. 33.71%). The implementation rate of contact isolation prevention and control measures in 2021 was higher than that in 2020 (93.31% vs. 70.79%). The qualified rates of MDRO infection prevention and control education in medical personnel, workers and caregivers in 2021 were higher than those in 2020 (96.57% vs. 81.31%, 76.47% vs. 47.95%, 73.17% vs. 34.19%). All the differences above were statistically significant (P<0.05). Conclusion ECRS management mode can improve the execution and prevention level of MDRO hospital infection prevention and control, and reduce the incidence of MDRO hospital infection.

Citation： ZHANG Min, HUANG Yaqin, XUAN Shanshan, LIU Ying, ZHOU Bin. Effect of ECRS management mode on nosocomial infection prevention and control quality of multidrug-resistant organisms. West China Medical Journal, 2023, 38(3): 374-379. doi: 10.7507/1002-0179.202211103 Copy

1.	袁晓宁. 多重耐药菌的形成机理及其防控措施研究进展. 中国消毒学杂志, 2016, 33(8): 792-796.
2.	黄晶, 刘燕瑜, 周树丽, 等. 多中心统一的环境清洁消毒措施对 ICU 患者和周围高频接触物体表面多药耐药菌检出率的影响. 中华医院感染学杂志, 2017, 27(15): 3575-3578.
3.	凌玲, 吴伟旋, 孙树梅, 等. 多重耐药菌医院感染直接经济负担的系统评价. 中国感染控制杂志, 2017, 16(7): 616-621.
4.	缪玉秀, 高焕新, 许蜜. 精益管理在多重耐药菌医院感染预防与控制中的应用研究. 实用临床医药杂志, 2017, 21(19): 207-209.
5.	杨启文, 吴安华, 胡必杰, 等. 临床重要耐药菌感染传播防控策略专家共识. 中国感染控制杂志, 2021, 20(1): 1-14.
6.	Tacconelli E, Cataldo MA, Dancer SJ, et al. ESCMID guidelines for the management of the infection control measures to reduce transmission of multidrug-resistant Gram-negative bacteria in hospitalized patients. Clin Microbiol Infect, 2014, 20(Suppl 1): 1-55.
7.	孟秀娟, 吴安华. 如何应对多重耐药菌医院感染的严峻挑战. 中国感染控制杂志, 2019, 18(3): 185-192.
8.	谭善娟, 李玲, 邱蔓, 等. 多学科协作联合集束化管理对 ICU 多重耐药菌感染预防的效果. 中国感染控制杂志, 2018, 17(2): 156-159.
9.	盛义平. ECRS 法在 NICU 患者感控管理流程中的应用. 中医药管理杂志, 2021, 29(2): 159-160.
10.	余江, 周来新, 胡琳, 等. 基于 ECRS 法的大型医院门诊服务流程优化. 中国医院, 2016, 20(11): 79-80.
11.	黄勋, 邓子德, 倪语星, 等. 多重耐药菌医院感染预防与控制中国专家共识. 中国感染控制杂志, 2015, 14(1): 1-9.
12.	Ekpanyapong S, Reddy KR. Infections in cirrhosis. Curr Treat Options Gastroenterol, 2019, 17(2): 254-270.
13.	郑雷刚. 实习护生多重耐药菌感染控制知识认知程度的调查分析. 全科护理, 2020, 18(13): 1661-1664.
14.	熊妙华, 陈小平, 丘文军, 等. 精益管理在降低多重耐药菌院感率中的应用效果. 中国医药指南, 2021, 19(13): 4-7.
15.	陈岗, 杨正丽, 孙桂香. 住院患者陪护人手卫生依从性及其影响因素. 中国消毒学杂志, 2018, 35(1): 44-46.
16.	韩颖, 王艾嘉, 田磊, 等. 环境筛查系列措施对 ICU 物体表面多重耐药菌检出率的影响. 中国感染控制杂志, 2021, 20(6): 499-504.
17.	常文燕, 陈晓兵, 李烨, 等. 基于接触路径分析多重耐药菌感染患者陪护人员手卫生依从性. 医学理论与实践, 2021, 34(21): 3831-3833.
18.	孙青, 陈慧丽, 蒋娜, 等. 精益管理在神经内科多重耐药管理的应用效果. 中国实用医药, 2019, 14(19): 162-164.
19.	赵铖, 肖玲琴. 信息支持与管理互补模式下医院感染监测工作的进展. 中医药管理杂志, 2021, 29(11): 188-189.
20.	高艳, 周泓羽, 赵庆华, 等. 医院感染的卫生经济学研究现状及启示. 中国卫生资源, 2021, 24(5): 520-524.
21.	国家医保局, 财政部, 国家卫生健康委员会, 等. 国家医保局财政部国家卫生健康委国家中医药局关于印发按疾病诊断相关分组付费国家试点城市名单的通知: 医保发﹝2019﹞34 号. 2019-06-15.
22.	陶莉, 张冰琦, 黄郁竹, 等. 多学科协作联合精准化监管模式在神经外科重症监护室多重耐药菌感染防控中的实践与效果. 当代医学, 2019, 25(32): 121-124.
23.	Rosenthal VD, Desse J, Maurizi DM, et al. Impact of the International Nosocomial Infection Control Consortium (INICC)’s multidimensional approach on rates of central line-associated bloodstream infection in 14 intensive care units in 11 hospitals of 5 cities in Argentina. Infect Control Hosp Epidemiol, 2018, 39(4): 445-451.
24.	蔡虻, 刘聚源. 多重耐药菌医院感染防控策略与思考. 中国护理管理, 2018, 18(12): 1590-1594.
25.	陈亚男, 刘菁, 田丽梅, 等. ICU 多重耐药菌目标性监测与干预效果分析. 中国感染控制杂志, 2017, 16(1): 58-61, 65.
26.	Spatenkova V, Bradac O, Fackova D, et al. Low incidence of multidrug-resistant bacteria and nosocomial infection due to a preventive multimodal nosocomial infection control: a 10-year single centre prospective cohort study in neurocritical care. BMC Neurol, 2018, 18(1): 23.

1. 袁晓宁. 多重耐药菌的形成机理及其防控措施研究进展. 中国消毒学杂志, 2016, 33(8): 792-796.
2. 黄晶, 刘燕瑜, 周树丽, 等. 多中心统一的环境清洁消毒措施对 ICU 患者和周围高频接触物体表面多药耐药菌检出率的影响. 中华医院感染学杂志, 2017, 27(15): 3575-3578.
3. 凌玲, 吴伟旋, 孙树梅, 等. 多重耐药菌医院感染直接经济负担的系统评价. 中国感染控制杂志, 2017, 16(7): 616-621.
4. 缪玉秀, 高焕新, 许蜜. 精益管理在多重耐药菌医院感染预防与控制中的应用研究. 实用临床医药杂志, 2017, 21(19): 207-209.
5. 杨启文, 吴安华, 胡必杰, 等. 临床重要耐药菌感染传播防控策略专家共识. 中国感染控制杂志, 2021, 20(1): 1-14.
6. Tacconelli E, Cataldo MA, Dancer SJ, et al. ESCMID guidelines for the management of the infection control measures to reduce transmission of multidrug-resistant Gram-negative bacteria in hospitalized patients. Clin Microbiol Infect, 2014, 20(Suppl 1): 1-55.
7. 孟秀娟, 吴安华. 如何应对多重耐药菌医院感染的严峻挑战. 中国感染控制杂志, 2019, 18(3): 185-192.
8. 谭善娟, 李玲, 邱蔓, 等. 多学科协作联合集束化管理对 ICU 多重耐药菌感染预防的效果. 中国感染控制杂志, 2018, 17(2): 156-159.
9. 盛义平. ECRS 法在 NICU 患者感控管理流程中的应用. 中医药管理杂志, 2021, 29(2): 159-160.
10. 余江, 周来新, 胡琳, 等. 基于 ECRS 法的大型医院门诊服务流程优化. 中国医院, 2016, 20(11): 79-80.
11. 黄勋, 邓子德, 倪语星, 等. 多重耐药菌医院感染预防与控制中国专家共识. 中国感染控制杂志, 2015, 14(1): 1-9.
12. Ekpanyapong S, Reddy KR. Infections in cirrhosis. Curr Treat Options Gastroenterol, 2019, 17(2): 254-270.
13. 郑雷刚. 实习护生多重耐药菌感染控制知识认知程度的调查分析. 全科护理, 2020, 18(13): 1661-1664.
14. 熊妙华, 陈小平, 丘文军, 等. 精益管理在降低多重耐药菌院感率中的应用效果. 中国医药指南, 2021, 19(13): 4-7.
15. 陈岗, 杨正丽, 孙桂香. 住院患者陪护人手卫生依从性及其影响因素. 中国消毒学杂志, 2018, 35(1): 44-46.
16. 韩颖, 王艾嘉, 田磊, 等. 环境筛查系列措施对 ICU 物体表面多重耐药菌检出率的影响. 中国感染控制杂志, 2021, 20(6): 499-504.
17. 常文燕, 陈晓兵, 李烨, 等. 基于接触路径分析多重耐药菌感染患者陪护人员手卫生依从性. 医学理论与实践, 2021, 34(21): 3831-3833.
18. 孙青, 陈慧丽, 蒋娜, 等. 精益管理在神经内科多重耐药管理的应用效果. 中国实用医药, 2019, 14(19): 162-164.
19. 赵铖, 肖玲琴. 信息支持与管理互补模式下医院感染监测工作的进展. 中医药管理杂志, 2021, 29(11): 188-189.
20. 高艳, 周泓羽, 赵庆华, 等. 医院感染的卫生经济学研究现状及启示. 中国卫生资源, 2021, 24(5): 520-524.
21. 国家医保局, 财政部, 国家卫生健康委员会, 等. 国家医保局财政部国家卫生健康委国家中医药局关于印发按疾病诊断相关分组付费国家试点城市名单的通知: 医保发﹝2019﹞34 号. 2019-06-15.
22. 陶莉, 张冰琦, 黄郁竹, 等. 多学科协作联合精准化监管模式在神经外科重症监护室多重耐药菌感染防控中的实践与效果. 当代医学, 2019, 25(32): 121-124.
23. Rosenthal VD, Desse J, Maurizi DM, et al. Impact of the International Nosocomial Infection Control Consortium (INICC)’s multidimensional approach on rates of central line-associated bloodstream infection in 14 intensive care units in 11 hospitals of 5 cities in Argentina. Infect Control Hosp Epidemiol, 2018, 39(4): 445-451.
24. 蔡虻, 刘聚源. 多重耐药菌医院感染防控策略与思考. 中国护理管理, 2018, 18(12): 1590-1594.
25. 陈亚男, 刘菁, 田丽梅, 等. ICU 多重耐药菌目标性监测与干预效果分析. 中国感染控制杂志, 2017, 16(1): 58-61, 65.
26. Spatenkova V, Bradac O, Fackova D, et al. Low incidence of multidrug-resistant bacteria and nosocomial infection due to a preventive multimodal nosocomial infection control: a 10-year single centre prospective cohort study in neurocritical care. BMC Neurol, 2018, 18(1): 23.

West China Medical Journal

Effect of ECRS management mode on nosocomial infection prevention and control quality of multidrug-resistant organisms

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