Developing guidelines to prevent the spread of antimicrobial resistance Phon Thong Hospital Phon Thong District, Roi Et Province

Abstract

Purposes: To study the situation,Develop guidelines And study the results of developing guidelines for preventing the spread of antimicrobial resistance Phon Thong Hospital.

Study design : Mutual collaborative action research.

Materials and Methods : The informants included 1) the Hospital Infection Prevention Committee, 30 people, 2) 6 people primarily responsible for developing clinical nursing guidelines and 3) professional nurses. Phon Thong Hospital, 121 people, running from 1 June 2023–31 January 2024.Tools used in development include developing guidelines to prevent the spread of antimicrobial resistance. Phon Thong Hospital Data were collected initially using an antimicrobial resistance infection situation interview form. Incidence of antimicrobial resistant infections, problems, obstacles, recommendations. In Phase 2, focus group questions were used to draft guidelines for preventing the spread of antimicrobial resistance. Phon Thong Hospital and assessment of the suitability of medical approaches to prevent the spread of antimicrobial resistance. Phon Thong Hospital The questions are a 5-point rating scale (Rating Scale). And in Phase 3, use a form to assess the level of compliance with guidelines for preventing the spread of antimicrobial resistance. Phon Thong Hospital Data were analyzed using frequency, percentage, mean, standard deviation and content analysis (Content Analysis).

Main findings: 1) The situation of antimicrobial resistant infections reveals that the methods for diagnosing antimicrobial resistant infections are still unclear. Infection control nurses on wards lack sufficient knowledge and skills to diagnose antimicrobial resistant infections. Coordinating care in cases of patients with antimicrobial-resistant infections between multidisciplinary teams both in the hospital and in the community There is still no clear system. From the incident report, it was found that personnel did not follow guidelines to prevent the spread of antimicrobial resistance. 2) Development of guidelines for preventing the spread of antimicrobial resistance. Guidelines for preventing the spread of antimicrobial resistance. Phon Thong Hospital was developed consisting of 3 categories, 12 areas:Section 1 Management, Section 1) Structure of roles, duties, responsible persons, Section 2) Policy, Section 3) Manual/guidelines Section 2: Managing the patient service system, Section 1) Arranging places for patients with antimicrobial-resistant infections, Section 2) Managing cloth used for patients with antimicrobial-resistant infections, Section 3) Moving patients. Patients with antimicrobial-resistant infections, aspect 4) Environmental control of patients with antimicrobial-resistant infections, aspect 5) Collection of specimens for patients with antimicrobial-resistant infections, aspect 6) Receiving referrals and reporting patient information. Patients with antimicrobial resistant infections Section 3: Preventing the spread of infection among personnel. Section 1) Compliance with principles for preventing the spread of infection from contact. Section 2) Hand cleaning. Section 3) Wearing protective equipment when caring for infected patients. And 3) Antimicrobial resistance Results of the development of guidelines for preventing the spread of antimicrobial resistance. Phon Thong Hospital It was found that evaluating the overall development of guidelines for preventing the spread of antimicrobial resistance at Phon Thong Hospital found that There is overall practice. At a high level, (Mean=3.86, SD.=0.59).

Conclusion and recommendations : The results of this research result in nursing practice guidelines for preventing the spread of antimicrobial resistance. Phon Thong Hospital, Phon Thong District, Roi Et Province, developed to be useful as a guideline for nurses to prevent, monitor and manage severe complications and can die.