ISSN: 1859 - 2872
Evaluation of the effectiveness of some interventions to reduce hospital-acquired infections in Intensive Care Units, 108 Military Central Hospital
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Abstract
Objective: To evaluate the effectiveness of some measures to improve hand hygiene and screening and isolation of patients carrying carbapenem-resistant enterobacteria (CRE) in reducing hospital-acquired infections in intensive care units (ICUs), 108 Military Central Hospital. Subject and method: Interventional study to improve hand hygiene and actively screen for CRE and isolate patients carrying CRE on 450 patients treated in ICUs. Result: Before intervention: The rate of hospital-acquired infections in patients treated in ICUs was 30.4%, the rate of CRE carriage when screened at the time of admission was 30.77%, at the time of discharge was 84.9%, the duration of CRE infection was 9-12 days. After intervention: The rate of hospital-acquired infections decreased to 17.7%, the rate of CRE carriage at the time of discharge decreased to 52.5%, the delay time of CRE infection was longer (13-24) days. The isolated CRE mainly included K. pneumoniae (47.08%), E. coli (23.2%), E. cloace 5.71%. The carbapenemase coding genes through rapid testing of K. pneumoniae mainly included KPC and NDM, of E. coli mainly included OXA and NDM. Conclusion: The rate of hospital-acquired infections in ICUs before intervention was still high. Implementing measures to enhance hand hygiene, screening and isolating patients carrying CRE reduced the rate of CRE infection and hospital-acquired infections in ICUs.
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References
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