ObjectiveTo investigate the current situation of healthcareassociated infection(HAI) management in secondary and above medical institutions in Shaanxi Province, analyze development trend, and put forward suggestions for improvement. MethodsIn MayJune, 2016, 170 secondary and above hospitals in 10 cities were selected for surveying through stratified random sampling method. Survey content included basic situation of hospitals, HAI management,  HAI monitoring, and so on. ResultsAvailable questionnaires were obtained from 165 hospitals (43 tertiary hospitals, and 122 secondary hospitals). Of 165 hospitals, more than 90% have established HAI management organizations and regulations, but  hospital risk management should be paid more attention, only 63.03% of hospitals perfected the risk management system and 66.06% conducted risk assessment. 99.09% of  hospitals implement training on HAI to all staff regularly and 88.41% conducted effective feedback.In the aspect of staff allocation, 88.48% of the hospitals assigned enough professionals for HAI management, but only 34.55% have specific training programme for these personnel. Only 33.94% of hospitals have special funds for HAI control; in the aspect of monitoring on HAI, 21.21% of hospital installed and used HAI monitoring software; In the aspect of implementation of monitoring programme, about 90% of hospitals developed monitoring on HAI cases and environmental hygiene， but only 34.55% and 23.64% of hospitals conducted targeted monitoring on intensive care unit and neonatal intensive care unit respectively.ConclusionOrganizational structure of HAI management in Shaanxi Province is perfect, relevant rules and regulations are basically established, basic monitoring projects are universal， but the awareness of risk management needs to be strengthened, professional allocation and professional quality development are both imbalance, informational monitoring is inadequate.