中国基层医疗机构医院感染组织管理体系的现状调查
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R197.323.4

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中国医院协会《中国医院感染管理工作30周年总结》项目(CHA-2016-026-053)


Current status of healthcareassociated infection organization management systems in primary medical institutions in China
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    摘要:

    目的了解基层医疗机构医院感染组织管理体系的现状。方法对全国5个省(自治区、直辖市)95所基层医疗机构医院感染组织管理体系进行调查。结果95所基层医疗机构中,设有医院感染管理小组的82所(86.32%),设有抗菌药物管理部门的65所(68.42%),配备抗菌药物专兼职人员的87所(91.58%);2010年以前设有抗菌药物管理部门的仅26所,2015年已增至65所(68.42%)。医院感染规章制度配备情况:有医疗废物管理制度的93所(97.89%),有清洁消毒与灭菌隔离制度、一次性无菌医疗器械管理制度的各87所(91.58%),有医院感染预防与控制措施制度的79所(83.16%),有医务人员职业卫生安全防护制度的76所(80.00%),有医院感染暴发报告制度的73所(76.84%),有手卫生管理制度的69所(72.63%),有医院感染监测制度的56所(58.95%)。结论基层医疗机构医院感染组织管理体系现状有待提高,卫生行政部门应加强监督管理,提高医院感染预防和控制水平。

    Abstract:

    ObjectiveTo investigate the current situation of healthcareassociated infection(HAI) organization management systems in primary medical institutions.Methods95 primary medical institutions in 5 provinces (autonomous regions, municipalities) in China were investigated.ResultsOf 95 primary medical institutions,82(86.32%) established HAI management groups, 65 (68.42%) set up antimicrobial management departments, 87(91.58%) assigned professionals  for antimicrobial management. Before 2010, only 26 antimicrobial management departments were set up, which  increased to 65(68.42%)in 2015. Hospitals established rules and regulations on medical waste management (n=93, 97.89%), disinfection and sterilization(n=87, 91.58%), disposable sterile medical device (n=87, 91.58%), HAI prevention and control measures (n=79, 83.16%), occupational health and safety protection for health care workers(n=76, 80.00%),outbreak reporting system (n=73, 76.84%), hand hygiene (n=69, 72.63%), and monitoring on HAI (n=56, 58.95%).ConclusionCurrent situation of HAI organization management systems in primary medical institutions needs to be improved, health administrative departments should strengthen supervision to improve the level of HAI prevention and control.

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引用本文

李延伟,刘彩红,刘欣健,等.中国基层医疗机构医院感染组织管理体系的现状调查[J]. 中国感染控制杂志,2016,15(9):694-697. DOI:10.3969/j. issn.1671-9638.2016.09.012.
LI Yanwei, LIU Caihong, LIU Xinjian, et al. Current status of healthcareassociated infection organization management systems in primary medical institutions in China[J]. Chin J Infect Control, 2016,15(9):694-697. DOI:10.3969/j. issn.1671-9638.2016.09.012.

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  • 收稿日期:2016-08-03
  • 最后修改日期:2016-08-18
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  • 在线发布日期: 2016-09-28
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