Application of "net type" management in the prevention and control of multi-drug resistant bacteria

Abstract

Objective To explore the effect of net type management in the prevention and control of multi-drug resistant organisms(MDROs). Methods Totals of 38 MDROs infected patients were selected from the department of geriatrics psychiatry, neurology and rehabilitation medicine from 2012 to 2013.Totals of 71 cases from January to December 2012 were selected as the control group, and were given the traditional prevention and control management. Totals of 67 cases from January to December 2013 were selected as the experiment group, and were given the net type management. Nosocomial infection, underreporting, implementing prevention and control measures were compared between the two groups. Results The percentages of underreporting, input outside the hospital, nosocomial infection of the experiment group after using the net type management were 5.97%, 39.44% and 43.28%, respectively, those percentages of the control group were 35.21%, 39.44% and 61.97%, and the differences were statistically significant (χ2=16.040, 9.548, 4.108, respectively; P<0.05). The medical orders for separation, setting separation signs, correct use of medical supplies, specific application, material dispose, correct dispose of medical waste and the incidence of health education were 89.55%, 92.54%, 76.12%, 88.06%, 88.06%, 92.54% and 92.54% in the experiment group, which were significantly better than those of the control group (χ2=16.178, 17.646, 39.613, 36.178, 17.006, 30.379, 40.519, respectively; P<0.05). Conclusions The net type management in secondary hospitals is better than the traditional method in the prevention and control of multi-drug resistant bacteria. Key words: Net typemanagement control; Secondary hospital; Multiple drug-resistant organisms; Prevention and control