摘要
目的 探究多层级多学科综合治疗模式对院内感染防控的效果。方法 2021 年 01 月~2022 年 01 月期
间，我院实施常规院内感染防控，2022 年 02 月~2023 年 02 月期间，我院实施多层级多学科综合治疗模式，观察
多层级多学科综合治疗模式实施前后我院多重耐药菌（MDRO）防控措施依从性及院内感染发生率。结果 多层
级多学科综合治疗模式实施后，我院医护人员医嘱开具、标识悬挂、手卫生、清洁/消毒合格、诊疗物品固定专
用、医疗废物规范处置及无菌技术操作合格依从性同比于实施前得到显著提升，院内感染发生率同比于实施前明
显降低（P<0.05）。结论 多层级多学科综合治疗模式能够显著提高医护人员感染防控意识及规范诊疗依从性，
有效预防院内感染的发生。
关键词： 多层级多学科综合治疗模式；院内感染；防控结果
Abstract
Objective To explore the effectiveness of a multi-level and multidisciplinary comprehensive treatment
model in preventing and controlling nosocomial infections. Method From January 2021 to January 2022, our hospital
implemented routine hospital infection prevention and control measures. From February 2022 to February 2023, our
hospital implemented a multi-level and multidisciplinary comprehensive treatment model, and observed the compliance
of our hospital's multi drug resistant bacteria (MDRO) prevention and control measures before and after the
implementation of the multi-level and multidisciplinary comprehensive treatment model, as well as the incidence of
hospital infection. Result After the implementation of the multi-level and multi-disciplinary comprehensive treatment
model, the compliance of medical staff in our hospital with the issuance of medical orders, hanging of signs, hand
hygiene, qualified cleaning/disinfection, fixed and dedicated diagnostic and treatment items, standardized disposal of
medical waste, and qualified aseptic technology operation was significantly improved compared to before the
implementation, and the incidence of hospital infections was significantly reduced compared to before the
implementation (P<0.05). Conclusion The multi-level and multidisciplinary comprehensive treatment model can
significantly improve the awareness of infection prevention and control among medical staff, standardize diagnosis and
treatment compliance, and effectively prevent the occurrence of hospital infections.
Key words： multi-level and multidisciplinary comprehensive treatment model; Intrahospital infection; Preventionand control results
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