摘要
目的了解基层医疗机构医院感染管理现状,为加强医院感染管理工作,逐步提高本区医院感染管理的整体水平提供依据。方法根据《医院感染管理规范》、《医院消毒技术规范》的要求制定统一检查评分标准,对14所基层医疗机构的医院感染管理现状进行调查。结果14所基层医疗机构的医院感染管理工作均存在不同程度的问题:发病率高(15.7%),漏报率高(67.7%),抗感染药物使用率高(71.2%),医院感染病例病原学送检率低(12.9%),无医院感染监测数据及反馈,病区和诊室洗手设备不规范。结论重视医院感染管理工作、完善监控网络、培养高素质的医院感染管理专职人员,是基层医疗机构医院感染管理工作健康发展的关键。
OBJECTIVE To understand situation in management of nosocomial infections in primary health centers in order to provide evidence for improving the management quality. METHODS An observatory study was conducted in 14 primary health centers using the evaluation criteria based on the requirements of The Guidelines for Management of Nosocomial Infections and the Guidelines for Disinfection in Hospitals. RESULTS Problems were found to a different extent in all of the 14 health centers. Most alarming problems were high incidence （15.7%）, high missing report （67.7 %）, frequent use of antibiotics （71.2 %）, low proportion of nosocomial infection specimens submitted for testing （12.9%）, lack of surveillance system for nosocomial infections and the data feedback, and non-qualified hand-washing equipment in wards and clinics. CONCLUSIONS Special attention to management of nosocomial infections, improvement of surveillance system, and capacity-building of professionals in management of nosomial infections is the key issues for sustained and perfect development of management of nosocomial infections in primary health centers.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2006年第3期310-312,共3页
Chinese Journal of Nosocomiology
关键词
医院感染
管理
基层医疗机构
Nosoeomial infeetion
Management
Primary health center
