福建省42所中医院医院感染管理现状调查
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王美容

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R197.323.4

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Status of healthcareassociated infection management in 42 Chinese medicine hospitals in Fujian Province
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    摘要:

    目的了解福建省中医院、中西医结合医院医院感染管理工作现状,分析存在问题及薄弱环节,提出相应的改进措施及对策。方法运用文献法、专家咨询法设计问卷,2016年3—4月对福建省8个市42所二级以上中医院、中西医结合医院进行现场调研,分析数据情况。结果共调查全省42所医院,其中中医院占92.86%,中西医院结合医院占7.14%;被调查医院均成立医院感染管理委员会及临床科室医院感染管理小组,医院感染专/兼职人员共100名,其中专职66名,兼职34名,护理人员占63.00%,大专及本科人员占84.00%,中级和高级人员占79.00%。二级和三级医院医院管理人员在学科专业、学历分布方面差异有统计学意义(P<0.05)。所有医院均开展医院感染病例监测,仅2.38%实现医院感染信息化软件监测,83.33%的医院开展综合性和目标性监测,多重耐药菌、手术部位感染、重症监护病房(ICU)目标性监测分别占42.86%、71.43%、80.95%。结论福建省多数中医院环境明显改善,医院感染管理组织机构设置较合理,医院感染专职人员配备及素质不均衡,医院感染监测尚停留在初期阶段,缺乏信息化管理,重点部门医院感染管理不容乐观等。

    Abstract:

    ObjectiveTo understand the status of healthcareassociated infection(HAI) management in traditional Chinese medicine hospitals as well as integrated traditional Chinese and Western medicine hospitals in Fujian Province, analyze the existing problems and weak links, and put forward corresponding improvement measures.MethodsA questionnaire was designed through literature and expert consultation, from March to April 2016, 42 secondary and above traditional Chinese medicine hospitals as well as integrated traditional Chinese and Western medicine hospitals in 8 cities of Fujian Province were conducted onsite investigation, data were analyzed.ResultsA total of 42 hospitals participated in the investigation, 92.86% were traditional Chinese medicine hospitals, 7.14% were integrated traditional Chinese and Western medicine hospitals; all hospitals set up HAI management committees and HAI management groups of clinical departments, there were 100 HAI management professionals (66 were fulltime, 34 were parttime), nursing staff accounted for 63.00%, junior college and undergraduate personnel accounted for 84.00%, staff with intermediate and senior professional titles accounted for 79.00%. There were significant differences in academic disciplines and education levels among administrators in secondary and tertiary hospitals(P<0.05). All hospitals carried out HAI case surveillance, only 2.38% achieved HAI informational software monitoring, 83.33% carried out comprehensive and targeted monitoring, 42.86%, 71.43%, and 80.95% of hospitals carried out targeted monitoring on multidrugresistant organisms, surgical site infection, and intensive care unit respectively.ConclusionThe environment of majority of Chinese medicine hospitals in Fujian Province improved significantly, organizations of HAI management is rational, staffing and quality of HAI management personnel is imbalanced, HAI monitoring is still at preliminary stage, lack information management, HAI management in key departments is not optimistic.

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蚁少华,王美容,陈碧贞,等.福建省42所中医院医院感染管理现状调查[J]. 中国感染控制杂志,2018,17(4):320-324. DOI:10.3969/j. issn.1671-9638.2018.04.009.
YI Shaohua, WANG Meirong, CHEN Bizhen, et al. Status of healthcareassociated infection management in 42 Chinese medicine hospitals in Fujian Province[J]. Chin J Infect Control, 2018,17(4):320-324. DOI:10.3969/j. issn.1671-9638.2018.04.009.

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  • 收稿日期:2017-04-10
  • 最后修改日期:2017-06-03
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  • 在线发布日期: 2018-04-26
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