Volume 20 Issue 8
Aug.  2022
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ZHANG Juan, XU Tong-mei, LIN Ning, XIE Qiang, TU Xiu, ZHANG Lan-lan. Effect of fluorescent labeling combined with PDCA management on improving environmental cleaning quality in patients with multiple resistant bacteria[J]. Chinese Journal of General Practice, 2022, 20(8): 1419-1422. doi: 10.16766/j.cnki.issn.1674-4152.002612
Citation: ZHANG Juan, XU Tong-mei, LIN Ning, XIE Qiang, TU Xiu, ZHANG Lan-lan. Effect of fluorescent labeling combined with PDCA management on improving environmental cleaning quality in patients with multiple resistant bacteria[J]. Chinese Journal of General Practice, 2022, 20(8): 1419-1422. doi: 10.16766/j.cnki.issn.1674-4152.002612

Effect of fluorescent labeling combined with PDCA management on improving environmental cleaning quality in patients with multiple resistant bacteria

doi: 10.16766/j.cnki.issn.1674-4152.002612
Funds:

 201904a07020005

  • Received Date: 2021-08-13
    Available Online: 2022-09-26
  •   Objective  To solve the environmental cleaning quality management problems of patients with multidrug-resistant bacteria infection in hospital, through the combination of plan-do-check-action (PDCA) management and fluorescent labeling, to provide reference for clinical research on improving the environmental cleaning quality of such patients.  Methods  The bed linen of patients with multidrug-resistant bacteria infection in the First People ' s Hospital of Chuzhou City was selected as the research object. From January to March 2019, the cleaning status of bed linen of patients with multidrug-resistant bacteria infection was baseline investigated by fluorescence labeling (control group). From April to June 2019, the cleaning quality of patients ' bedsheets were monitored by fluorescence labeling method, and the environmental cleaning quality of patients ' bedsheets were gradually improved by combining the monitoring- feedback training- improvement and enhancement of PDCA management mode (observation group). The feedback effect of fluorescence labeling in two time periods was recorded. Meanwhile, the implementation of prevention and control measures for patients with multidrug-resistant bacteria infection in the two periods was compared.  Results  Compared with the control group, the clearance rate of fluorescent labeling points and the proportion of fluorescent spots detected in other environments in the observation group were improved from 59.87% (282/471) and 6.79% (32/471) to 88.03% (412/468) and 1.92% (9/468), the differences were statistically significant between groups (all P < 0.05).  Conclusion  The combination of PDCA management and fluorescent labeling can effectively improve the effect of environmental cleaning quality management in hospital patients with multidrug-resistant bacteria infection.

     

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  • [1]
    郭立华, 沈秀丽, 刘锋. 多重耐药定植菌与医院感染的关系及去定植措施的效果研究[J]. 中华医院感染学杂志, 2018, 28(15): 2249-2252. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201815003.htm

    GUO L H, SHEN X L, LIU F. Relationship between multi-drugresistant colonization and nosocomial infections and the effect of transplanting measures[J]. Chinese Journal of Nosocomiology, 2018, 28(15): 2249-2252. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201815003.htm
    [2]
    黄聪, 王玉沐. 某院2017~2019年大肠埃希菌医院感染与社区感染分布及其耐药性分析[J]. 中国临床新医学, 2021, 14(5): 488-492. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLN202105015.htm

    HUANG C, WANG Y M. Distribution of hospital infection and community infection of Escherichia coli in a hospital from 2017 to 2019 and its drug-resistance analysis[J]. Chinese Journal of New Clinical Medicine, 2021, 14(5): 488-492. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLN202105015.htm
    [3]
    李玉森, 杜慧, 李宁, 等. 荧光标记法在综合重症监护室物体表面清洁质量监测中的应用[J]. 中国消毒学杂志, 2019, 36(3): 212-214. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201903018.htm

    LI Y S, DU H, LI N, et al. Application of fluorescent labeling method in monitoring surface cleaning quality of objects in Integrated Intensive Care Unit[J]. Chinese Journal of Disinfection, 2019, 36(3): 212-214. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201903018.htm
    [4]
    李静, 石庆平, 彭德峰. PDCA循环在静脉药物配置中心提高抗肿瘤药物配置质量中的应用[J]. 中华全科医学, 2018, 16(12): 2097-2101. doi: 10.16766/j.cnki.issn.1674-4152.000571

    LI J, SHI Q P, PENG D F. Application of Plan-Do-Check-Act cycle in improving the quality of antitumor drugs intravenous admixture services[J]. Chinese Journal of General Practice, 2018, 16(12): 2097-2101. doi: 10.16766/j.cnki.issn.1674-4152.000571
    [5]
    中华人民共和国国家卫生和计划生育委员会. 医疗机构环境表面清洁和消毒管理规范: WS/T512-2016[J]. 中国感染控制杂志, 2017, 16(4): 388-392. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201704020.htm

    National Health and Family Planning Commission of the People ' s Republic of China. Management of environmental surface cleaning and disinfection in medical institutions: WS/T512-2016[J]. Chinese Journal of Infection Control, 2017, 16(4): 388-392. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD201704020.htm
    [6]
    陈瑞飞, 祁新坤, 李正民, 等. 华中阜外医院建院第一年细菌耐药性分析[J]. 医药论坛杂志, 2020, 41(7): 15-20. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX202007004.htm

    CHEN R F, QI X K, LI Z M, et al. Antimicrobial resistance surveillance of Central China Fuwai Hospital in its first year[J]. Journal of Medical Forum, 2020, 41(7): 15-20. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX202007004.htm
    [7]
    苏艳丽, 许丽萍. 神经外科重症监护病房患者多重耐药菌感染的危险因素分析[J]. 中国医师杂志, 2019, 21(12): 1837-1840.

    SU Y L, XU L P. Analysis on risk factors for multidrug-resistant bacterial infections in patients in neurosurgical intensive care unit[J]. Journal of Chinese Physician, 2019, 21(12): 1837-1840.
    [8]
    许海军, 季崇裕, 卞红霞. 区域隔离对ICU患者多重耐药菌感染检出率及医护人员工作效率的影响[J]. 山东医药, 2019, 59(32): 70-72. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY201932020.htm

    XU H J, JI C Y, BIAN H X. Effect of regional isolation on the detection rate of multi-drug resistant bacteria infection in ICU patients and work efficiency of medical staff[J]. Shandong Medical Journal, 2019, 59(32): 70-72. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYY201932020.htm
    [9]
    胡慧芳, 郭金凤, 孔立, 等. 荧光标记法在评价及改进医院环境清洁质量中的应用[J]. 中华医院感染学杂志, 2017, 27(18): 4261-4264. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201718048.htm

    HU H F, GUO J F, KONG L, et al. Application of fluorescence marker in assessment and improvement of environmental cleaning quality of hospitals[J]. Chinese Journal of Nosocomiology, 2017, 27(18): 4261-4264. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201718048.htm
    [10]
    莫元春, 李沃田, 杨文, 等. 危急值管理在多重耐药菌感染控制中的应用[J]. 中华医院感染学杂志, 2019, 29(10): 1575-1578. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201910031.htm

    MO Y C, LI W T, YANG W, et al. Application of critical value management in control of multidrug-resistant organisms infection[J]. Chinese Journal of Nosocomiology, 2019, 29(10): 1575-1578. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201910031.htm
    [11]
    切措塔, 何定英, 陈辉, 等. 荧光标记在民族地区医疗机构环境清洁依从性调查中的应用[J]. 中国感染控制杂志, 2020, 19(2): 155-159. https://www.cnki.com.cn/Article/CJFDTOTAL-GRKZ202002011.htm

    QIE C T, HE D Y, CHEN H, et al. Application of fluorescence labeling in survey of compliance to environmental cleaning of medical institutions in ethnic minority areas[J]. Chinese Journal of Infection Control, 2020, 19(2): 155-159. https://www.cnki.com.cn/Article/CJFDTOTAL-GRKZ202002011.htm
    [12]
    赵玲玲. 重症监护病房患者多重耐药菌感染的分布及耐药性分析[J]. 医药论坛杂志, 2021, 42(01): 114-117. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX202101031.htm

    ZHAO L L. Distribution and drug resistance analysis of multidrug resistant bacteria infection in intensive care unit patients[J]. Journal of Medical Forum, 2021, 42(01): 114-117. https://www.cnki.com.cn/Article/CJFDTOTAL-HYYX202101031.htm
    [13]
    王远萍, 李妮娅, 袁瀚寰, 等. 浦东新区医疗机构多重耐药菌的感染特征研究[J]. 中国消毒学杂志, 2020, 37(10): 733-736, 740. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD202010006.htm

    WANG Y P, LI N Y, YUAN H H, et al. Infection characteristics of multidrug resistant Bacteria in medical institutions of Pudong new area[J]. Chinese Journal of Disinfection, 2020, 37(10): 733-736, 740. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXD202010006.htm
    [14]
    项彦斌, 周燕, 杜建成, 等. 重症患者多重耐药菌感染的影响因素及预测模型分析[J]. 重庆医学, 2020, 49(23): 3966-3970. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX202023026.htm

    XIANG Y B, ZHOU Y, DU J C, et al. Influcing factors and prediction model of multidrug-resistant bacterial infection in severe patients[J]. Chongqing medicine, 2020, 49(23): 3966-3970. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX202023026.htm
    [15]
    李春荣, 杨珉, 刘朝杰, 等. 应用结构方程模型对孕产期保健服务质量影响因素的研究[J]. 中国基层医药, 2019, 26(1): 104-108.

    LI C R, YANG M, LIU C J, et al. Association of influence factors and maternal health service in China: a structural equation modeling approach[J]. Chinese Journal of Primary Medicine and Pharmacy, 2019, 26(1): 104-108.
    [16]
    孙永宁, 王福斌. 浙江省宁波市第六医院铜绿假单胞菌的临床分布及耐药性分析[J]. 中国基层医药, 2019, 26(1): 86-90.

    SUN Y N, WANG F B. Analysis of clinical distribution and drug resistance of pseudomonas aeruginosa in the Sixth Hospital of Ningbo[J]. Chinese Journal of Primary Medicine and Pharmacy, 2019, 26(1): 86-90.
    [17]
    杨莉, 彭威军, 谢红艳, 等. PDCA循环在医院环境卫生监管中的应用[J]. 中国感染控制杂志, 2019, 18(9): 872-876. https://www.cnki.com.cn/Article/CJFDTOTAL-GRKZ201909015.htm

    YANG L, PENG W J, XIE H Y, et al. Application of PDCA cycle in hospital environmental hygiene supervision[J]. Chinese Journal of Infection Control, 2019, 18(9): 872-876. https://www.cnki.com.cn/Article/CJFDTOTAL-GRKZ201909015.htm
    [18]
    黄菊, 杨坚娥, 黄少君. FMEA风险评估法在ICU多重耐药菌医院感染防控中的应用[J]. 中国感染控制杂志, 2019, 18(11): 1079-1083. https://www.cnki.com.cn/Article/CJFDTOTAL-GRKZ201911016.htm

    HUANG J, YANG J E, HUANG S J. Application of FMEA risk assessment in prevention and control of multidrug-resistant organism healthcare-associated infection in intensive care unit[J]. Chinese Journal of Infection Control, 2019, 18(11): 1079-1083. https://www.cnki.com.cn/Article/CJFDTOTAL-GRKZ201911016.htm
    [19]
    程莉莉, 张秀月, 毛健, 等. 环境清洁消毒质量对降低新生儿败血症感染的效果评估[J]. 中华医院感染学杂志, 2018, 28(18): 2825-2828. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201818026.htm

    CHENG L L, ZHANG X Y, MAO J, et al. Effect of quality of environmental cleaning and disinfection on reduction of incidence of septicemia in neonates[J]. Chinese Journal of Nosocomiology, 2018, 28(18): 2825-2828. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201818026.htm
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