中国民营医疗机构医院感染管理现状
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付强

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R197.32

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中国医院协会资助项目(CHA-2016-026-053)


Status of healthcareassociated infection management in private medical institutions in China
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    摘要:

    目的了解中国民营医疗机构医院感染管理情况。方法2016年采用问卷调查法对29个省民营医疗机构进行调查,分析中国民营医疗机构医院感染管理情况。结果共247所民营医疗机构填写问卷,经过数据筛查和整理,最终获取246所民营医疗机构数据。 22所(8.94%)为三级医院,236所(95.93%)有编制床位,132所(53.66%)医疗机构设立了独立的医院感染管理部门,240所(97.56%)开展医院感染管理院内培训; 246所医疗机构中,仅有17所(6.91%)开展了信息化医院感染监测,197所(80.08%)采用人工监测,32所(13.01%)未开展医院感染监测。240所(97.56%)医疗机构开展手卫生培训工作,152所(61.79%)医疗机构开展了针刺伤职业暴露监测,205所填报了年均安全注射培训次数中169所(82.44%)医疗机构开展安全注射培训工作。全部或部分由社会化洗涤服务机构或其他医疗机构承担织物洗涤的有69所(30.53%);在开展医用织物洗涤管理工作的223所医疗机构中(226所填报了此数据),有67所(30.04%)医院感染管理部门参与。187所(76.02%)医疗机构表示了解医院感染质量控制中心工作。 结论民营医疗机构医院感染管理制度、组织逐步完善, 但仍应持续加强医院感染防控基础知识培训,加大医院感染信息化监测水平,加强医用织物洗涤消毒规范化管理,同时注意加大民营医疗机构医院感染管理质控力度。

    Abstract:

    ObjectiveTo understand status of healthcareassociated infection(HAI) management in private medical institutions in China.MethodsPrivate medical institutions in 29 provinces in China were performed questionnaire survey in 2016, HAI management status in private medical institutions in China was analyzed.ResultsA total of 247 private medical institutions filled out the questionnaire, data of 246 private medical institutions were obtained after data were screened and sorted. 22 (8.94%) private medical institutions were tertiary hospitals, 236 (95.93%) had authorized beds, 132 (53.66%) set up independent HAI management departments, 240(97.56%) carried out training about HAI; among 246 medical institutions, only 17(6.91%) carried out informational monitoring on HAI, 197 (80.08%) conducted monitoring manually, and 32 (13.01%) didn’t carry out HAI monitoring. 240 (97.56%) medical institutions carried out hand hygiene training, 152 (61.79%) carried out occupational exposure monitoring for needlestick injury, among 205 medical institutions that filled out the annual number of training on safe injection, 169 (82.44%) carried out safe injection training, all or part of the fabric in 69 (30.53%) medical institutions were washed by social washing services or other medical institutions. In 223 medical institutions that carried out medical fabric washing management (226 filled out this data), HAI management departments in 67 (30.04%) hospitals participated. 187 (76.02%) medical institutions understood the work of HAI quality control center.ConclusionHAI management systems and organizations have gradually improved in private medical institutions, but attention should be paid to the strengthening of training for basic knowledge about HAI prevention and control, level of hospital information monitoring, and standardized management of medical fabric washing and disinfection. The quality control system of HAI management should be strengthened for private medical institutions.

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引用本文

赵烁,付强.中国民营医疗机构医院感染管理现状[J]. 中国感染控制杂志,2018,17(5):391-394. DOI:10.3969/j. issn.1671-9638.2018.05.005.
ZHAO Shuo, FU Qiang. Status of healthcareassociated infection management in private medical institutions in China[J]. Chin J Infect Control, 2018,17(5):391-394. DOI:10.3969/j. issn.1671-9638.2018.05.005.

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  • 收稿日期:2017-09-17
  • 最后修改日期:2017-11-12
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  • 在线发布日期: 2018-05-28
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