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目的比较两种重症监护室(ICU)保洁人员的管理模式,为控制ICU感染风险提供依据。方法比较保洁人员工作分区管理和分功能管理两种模式的环境卫生学监测合格率、日医院感染率和多重耐药菌感染发生率,评价不同管理模式对ICU环境及感染防控的影响。结果分区管理组环境卫生学监测合格率为85.57%(172/201),分功能管理组为94.50%(189/200),两组比较差异有统计学意义(P<0.05);分区管理组日医院感染率为12.42‰(43/3 463),分功能管理组为6.87‰(22/3 196),差异有统计学意义(P<0.05);分区管理组多重耐药菌感染发生率为6.15%(24/390),分功能管理组为6.28%(27/434),差异无统计学意义(P>0.05)。结论 ICU病区实施分功能管理可以提高ICU环境卫生学合格率,且在一定程度上降低日医院感染率,但对多重耐药菌感染发生率无明显影响。
Objective To compare the management modes of two intensive care unit (ICU) cleaning workers and provide the basis for controlling the risk of ICU infection. Methods The sanitation monitoring rate, Japanese hospital infection rate and multi-drug-resistant bacterial infection rate were compared between the two modes of working division management and sub-functional management of cleaning workers, and the influence of different management modes on ICU environment and infection prevention and control was evaluated. Results The qualified rate of environmental hygiene monitoring in the district management group was 85.57% (172/201), and the functional management group was 94.50% (189/200). There was significant difference between the two groups (P <0.05) The infection rate of hospital was 12.42 ‰ (43/3 463) and sub-functional management group was 6.87 ‰ (22/3 196), the difference was statistically significant (P <0.05). The incidence of multidrug-resistant bacterial infection was 6.15 % (24/390), sub-functional management group was 6.28% (27/434), the difference was not statistically significant (P> 0.05). Conclusion The implementation of sub-functional management in ICU wards can improve the qualification rate of environmental hygiene in ICU and reduce the infection rate of Japanese hospital to a certain degree, but it has no obvious effect on the incidence of multi-drug resistant bacteria infection.