Kiểm soát vi khuẩn đa kháng: Sự phối hợp giữa chương trình quản lý sử dụng kháng sinh, vi sinh và kiểm soát nhiễm khuẩn tại Bệnh viện Nhân Dân Gia Định=Controlling multidrug-resistant bacteria: Collaboration between clinical pharmacy, microbiology, and infection control management program at Nhan Dan Gia Dinh Hospital

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Tác giả: Phan Tường Anh Mai, Hoàng Hải Nguyễn, Sử Minh Tuyết Nguyễn, Thị Thúy Hằng Nguyễn, Tú Anh Nguyễn, Hồng Thắm Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.184-191

Bộ sưu tập: Metadata

ID: 243937

Thêm vào giỏ

Đánh giá hiệu quả quy trình kiểm soát nhiễm vi khuẩn đa kháng có phối hợp giữa chương trình kiểm soát nhiễm khuẩn và quản lý sử dụng kháng sinh. Phương pháp nghiên cứu: Mô tả cắt ngang, có can thiệp. Dữ liệu sử dụng kháng sinh, tình hình vi sinh và tỷ lệ tuân thủ kiểm soát nhiễm khuẩn như vệ sinh tay, tuân thủ cách ly phòng ngừa lây truyền vi khuẩn đa kháng tại bệnh viện Nhân dân Gia Định theo quy trình giám sát vi khuẩn đa kháng. Kết quả: Tỷ lệ vi khuẩn đa kháng trung bình toàn bệnh viện năm 2022 giảm 3,5% so với năm 2021. Năm 2022 so với năm 2021, chi phí sử dụng kháng sinh toàn bệnh viện giảm 1,13%, chi phí tiêu thụ trung bình hồ sơ bệnh án có sử dụng kháng sinh trong điều trị giảm 14,7%. Tỷ lệ tuân thủ vệ sinh tay năm 2021, 2022 lần lượt là 81,6%, 81,8%. Có sự xuất hiện các chủng vi khuẩn đề kháng mang các gen kháng thuốc (KPC, OXA, NDM, VIM…) theo vi sinh. Kết luận: Tăng cường hoạt động kiểm soát nhiễm khuẩn, phối hợp sớm với vi sinh và dược lâm sàng, thực hành phòng ngừa lây truyền vi khuẩn đa kháng, tối ưu sử dụng kháng sinh, tiết kiệm chi phí điều trị thông qua sử dụng kháng sinh hợp lý, an toàn, góp phần giảm tỷ lệ đề kháng kháng sinh, giảm tỷ lệ vi khuẩn đa kháng trong bệnh viện.Evaluate the effectiveness of the multi-resistant bacterial infection control process with coordination between the infection control program and antibiotic use management. Methods: A cross-sectional study with intervention. Data on antibiotic use, microbiological situation and rate of compliance with infection control such as hand hygiene, compliance with quarantine to prevent transmission of multi-resistant bacteria at Nhan dan Gia Dinh Hospital Hospital according to the hospital's multi-resistant bacteria surveillance process. Results: The average rate of multi-resistant bacteria in the entire hospital in 2022 decreased by 3.5% compared to 2021. In 2022 compared to 2021, the cost of using antibiotics for the entire disease hospitals decreased by 1.13%, the average cost of consuming medical records using antibiotics in treatment decreased by 14.7%. The hand hygiene compliance rate in 2021 and 2022 is 81.6% and 81.8%, respectively. There is the appearance of resistant bacterial strains carrying drug resistance genes (KPC, OXA, NDM, VIM...) according to microbiology. Conclusion: Strengthen infection control activities, coordinate early with microbiology and clinical pharmacy, practice prevention of transmission of multi-resistant bacteria, optimize antibiotic use, save treatment costs through using reasonable and safety antibiotics, contributing to reducing the rate of antibiotic resistance and reducing the rate of multi-resistant bacteria in hospital.

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