目的 研究PDCA的管理模式结合鱼骨图分析法对提高血液净化室护理人员手卫生行为的影响.方法 选取护理人员8人,感染管理科4人,共12人成立PDCA质控小组,运用PDCA管理模式及鱼骨图分析法,比较干预前后护理人员手卫生依从率.结果 干预前、后护理人员手卫生依从率分别为67.6％、81.27％,高于干预前,差异具有统计学意义(P＜0.05).结论 PDCA的管理模式结合鱼骨图分析法,能够更生动的分析手卫生依从率低的原因,能够大大提高管理效率,值得推广应用.

Objective To investigate the antimicrobial resistance of nosocomial infection pathogens and to provide the reference for the clinical treatment and infection control in hospital.Methods Bacteria were isolated from patients in four hospital from Nov 2008 to Nov 2011 and animicrobial susceptibility was tested by disc diffusion method(K-B method).Results Of 11160 clinical isolated,35.7% was Gram-positive cocci and 64.3% was Gram-negative bacilli.The most common pathogens of them were Staphylococcus.Meticillin resistant strains of S.aureus and coagulase negative Staphylococcus(CNS) accounted for 57.3% and 68.7%,respectively.There were 7173 strains of Gram-negative bacilli.The most common pathogens of them were Escherichia coli.The most common ESBLs producing strains were E.coli and K.pneumoniae,accounted for 48.3% and 43.7%.In our data,no vancomycin resistant Staphlococcus was isolated.Conclusion The detectable rates of Staphylococcus increased yearly in Yulin,It is suggested that there be urgent need for surveillance of bacterial resistance and reasonable usage of antibiotics,and reduce or postpone development of antibiotics for reducing drug-resistant strains.