中国感染控制杂志2019，Vol.18Issue(2)：105-110,6.DOI:10.12138/j.issn.1671-9638.20193704
采用信息化技术实时标识与预警耐药菌
Real-time identification and early warning on drug-resistant bacteria by information technology
摘要
Abstract
Objective To explore the method of real-time identification and early warning of drug-resistant bacteria through information technology, timely obtain information about drug-resistant bacteria in clinic.Methods Interface of Hospital Information System (HIS), Laboratory Information Management System (LIS) and healthcare-associated infection (HAI) surveillance system were reconstructed in 2015, HL7 was used as interface framework to design standard, LIS was as baseline data source and HIS as patient information database, multi-information exchange was implemented on the commonly used interface, identification and early warning of detected drug-resistant bacteria was conducted, identification of drug-resistant bacteria before and after informationization was compared.Results Through the information construction, the information interface showed that the rules of drug-resistant bacteria determination can be changed at will, data results were more accurate and timely.The judgment time of manual review was reduced from 30 minutes to 2 minutes every day, information of drug-resistant bacteria can be obtained timely and conveniently on any internal network computer by clinical staff.After timely identification and intervention of drug-resistant bacteria, 284, 289 and 309 strains of drug-resistant bacteria were detected in key departments of HAI control in 2015-2017, drug-resistant bacteria per 1 000 bed-day were 9.23‰ (284/30 773), 8.91‰ (289/32 429), and 8.34‰ (309/37 031) respectively, with a slight decrease.Conclusion Through information technology, drug-resistant bacteria can be found timely, and new drug-resistant bacteria can be identified and intervened in time, so as to effectively reduce the infection rate of drug-resistant bacteria.关键词
医院感染/软件/信息化/接口/耐药菌/标识/预警Key words
healthcare-associated infection/software/informationization/interface/drug-resistant bacteria/identification/early warning分类
医药卫生引用本文复制引用
糜琛蓉,王群,王亦晨,倪语星,张祎博,李文慧,石大可,王晨,韩立中..采用信息化技术实时标识与预警耐药菌[J].中国感染控制杂志,2019,18(2):105-110,6.基金项目
国家自然科学基金面上项目(81772245) （81772245）
国家卫生计生委医药卫生科技发展研究中心课题(2017ZX01001S1-04) （2017ZX01001S1-04）
第四轮上海公共卫生三年行动计划重点学科建设项目传染病与卫生微生物学(15GWZK0102) （15GWZK0102）
