ZHOU Shidan, LIU Chunlai, LI Yan, et al. Effects of Comprehensive Intervention Measures on Prevention and Control of Carbapenemresistant Enterobacteriaceae in Emergency Intensive Care Unit. [J]. 21(7):886-889(2021)
DOI:
ZHOU Shidan, LIU Chunlai, LI Yan, et al. Effects of Comprehensive Intervention Measures on Prevention and Control of Carbapenemresistant Enterobacteriaceae in Emergency Intensive Care Unit. [J]. 21(7):886-889(2021) DOI: 10.14009/j.issn.1672-2124.2021.07.026.
Effects of Comprehensive Intervention Measures on Prevention and Control of Carbapenemresistant Enterobacteriaceae in Emergency Intensive Care Unit
OBJECTIVE: To investigate the detection status of carbapenem-resistant Enterobacteriaceae( CRE) in emergency intensive care unit( EICU)
and to explore the effect of comprehensive intervention measures for prevention and control of CRE in EICU
so as to provide reference for prevention and control of nosocomial infection. METHODS:In 2017 and 2018
the environment and surface of the EICU
the medical personnel and inpatients were sampled by the professional staff of a grade Ⅲ
level A hospital( hereinafter referred to as "the hospital") to screen for CRE.From 2018 to 2020
the effectiveness of the intervention were evaluated through strict implementation of cluster infection control measures such as hand hygiene
isolation measures
cleaning and disinfection and active monitoring.RESULTS: In 2017
the carbapenem-resistant Escherichia coli strain with multiple carbapenem resistance genes( blaIMP-4
blaNDM-1 and blaVIM-2) was detected on the surface of the return air vent in EICU. From 2018 to 2020
the incidence of nosocomial infection in EICU decreased year by year
and no nosocomial infection caused by CRE was found. CONCLUSIONS: Comprehensive intervention measures can effectively reduce the colonization of CRE in the environment and on the surface of objects
and reduce the cross-transmission of CRE in the ward.
关键词
耐碳青霉烯类肠杆菌科细菌医院保健相关感染手卫生多重耐药菌
Keywords
Carbapenem-Resistant EnterobacteriaceaeHealth care associated infectionsHand hygieneMultidrug resistant bacteria