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首页> 外文期刊>BMJ: British medical journal >Reducing Clostridium difficile infection in acute care by using an improvement collaborative
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Reducing Clostridium difficile infection in acute care by using an improvement collaborative

机译：减少感染急性梭状芽胞杆菌利用一个改进的协作

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Problem In 2006, despite a focus on infection control, Salford Royal had the fourth highest rate of Clostridium difficile infection in north west England. Design Interrupted time series in five collaborative wards (intervention group) and 35 non-collaborative wards (control group).Setting University teaching hospital with 850 acute beds. Key measures for improvement Number of cases of C difficile infection per 1000 occupied bed days. Strategies for change In February 2007, a newly formed antimicrobial team led the implementation of revised guidelines in all wards and departments. From March to December 2007, five wards participated in an improvement collaborative. Since December 2007, the changes from the collaborative have been collated and implemented throughout the organisation.Effects of change At baseline the non-collaborative wards had 1.15 (95% Cl 1.03 to 1.29) cases per 1000 occupied bed days. In August 2007 cases reduced 56% from baseline (0.51,0.44 to 0.60), which has been maintained since that time. In the collaborative wards, there were 2.60 (2.11 to 3.17) cases per 1000 occupied bed days at baseline. A shift occurred in April 2007 representing a reduction of 73% (0.69, 0.50 to 0.91) from baseline, which has been maintained. Lessons leamt Careful use of antimicrobial drugs is important in reducing the number of cases of C difficile infection. A collaborative learning model can enable teams to test and implement changes that can accelerate, amplify, and sustain control ofC difficile.
机译：问题是在2006年,尽管关注感染控制、索尔福德皇家第四最高梭状芽胞杆菌的感染率在北西英格兰。五个协作病房(干预组)和35这个病房(控制组)。850年急性床。每1000 C固执的感染病例数占用床日。2007年2月,一个新成立的抗菌团队修订的指导方针的实现所有的病房和部门。2007年,五个病房参加了一个进步协作。合作已经整理和实现整个组织。在基线的变更这个病房Cl 1.03到1.29 1.15(95%)例每1000占用床日。56%的基线(0.51,0.44,0.60),已被维护。协作的病房,有2.60 (2.113.17)情况下每1000天占领了床基线。代表减少73%(0.69、0.50从基线0.91),已维护。教训leamt小心使用抗菌药物最重要的是减少病例的数量C固执的感染。模型可以使团队测试和实施变化,可以加速、放大和维持控制ofC固执的。

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