多部门联合查房提升多重耐药菌管理效果的研究

Objective To investigate the effect of multi-department joint ward rounds on improving the management of multidrug-resistant bacteria. Methods Data from 55,364 hospitalized patients in our hospital from January 2022 to December 2023 were collected. Multi-department joint ward rounds were implemented starting in January 2023. The preantibiotic therapy pathogen testing rates and the incidence of multidrug-resistant bacteria hospital-acquired infections were compared before and after the implementation. Results In 2023, the number of pre-antibiotic therapy pathogen tests was higher than in 2022, with an increasing testing rate, which showed a statistically significant difference(P<0.05). The number of hospital-acquired infections in 2023 was lower than in 2022(P<0.05). The incidence rates of multidrugresistant bacteria infections in 2022 and 2023 were 0.08%(20/26,634) and 0.05%(13/28,730), respectively, showing a downward trend. The proportion of multidrug-resistant bacteria infections among total infections did not differ(P>0.05). Conclusion Multi-department joint ward rounds can effectively improve the pre-antibiotic therapy pathogen testing rate, enable precise treatment, and enhance the management of multidrug-resistant bacteria.