| Objective To study the value of multidisciplinary diagnosis and treatment management based on 5M1E analysis to prevent carbapenem-resistant enterobacteriaceae bacterial infection. Methods In this prospective study, 84 patients who were treated in the Intensive Care Unit of Taihe County People's Hospital from December 2020 to November 2021 were selected as the research objects, and randomly grouped according to the time of admission and the order of registration(the patients with an odd registration number were included in the observation group, and the patients with an even registration number were included in the control group). The above patients were randomly divided into the observation group and the control group, with 42 cases in each group. Patients in the observation group were admitted to the first ward of the Intensive Care Unit, while patients in the control group were admitted to the second ward of the intensive care unit(the people, finances and materials in the two wards were independent and did not cross each other). Patients in the observation group took the multidisciplinary diagnosis and treatment management measures under the 5M1E analysis method, and patients in the control group took the conventional management mode. Both groups were treated for two weeks. The differences in infection index, hospital management measures, length of stay, hospitalization cost and treatment satisfaction were compared between the two groups. Results The detection rate and detection rate of carbapenem-resistant enterobacteriaceae bacterial infection in the observation group were significantly lower than that in the control group, and the difference was statistically significant(P<0.05). The rate of rational drug use in hospital, the rate of specialized nursing, the clearance rate of body surface and the rate of medical supplies in the observation group were significantly higher than those in the control group, and the difference was statistically significant(P<0.05). The length of hospital stay and hospitalization cost in the observation group were significantly lower than those in the control group, and the difference was statistically significant(P<0.05). The satisfaction rate of observation group was significantly higher than that of control group, and the difference was statistically significant(P<0.05). The survival rate of the observation group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). There was no significant difference in the average detection rate of carbapenem-resistant enterobacteriaceae bacterial infection in hands, keyboards, curtains, ventilator surfaces and sinks between the two groups(P>0.05). Conclusion The multidisciplinary diagnosis and treatment management based on 5M1E analysis has positive effect in preventing carbapenem-resistant enterobacteriaceae infection. |
