摘要
目的分析基层医疗机构在医院感染管理方面存在的问题,提出相关干预对策,为集中整顿基层医疗机构医院感染控制工作,保证医疗安全提供依据。方法结合卫生局检查及规范化诊所验收活动,采用现场检查方式,对517所基层医疗机构医院感染管理工作进行检查,并将城区基层门诊及村卫生室、以及社区卫生服务机构医院感染控制情况进行比较;采用SPSS17.0软件对资料进行统计分析。结果基层医疗机构医院感染控制工作存在的主要问题为消毒隔离措施执行不到位、手卫生规范执行不到位、制度不健全、建设布局及区域划分不合理、医疗废物处置不合理分布率分别为68.86%、55.32%、42.30%、22.63%、21.47%;其中,城区基层门诊及村卫生室与社区卫生服务机构比较,除手卫生执行项之外,其他4项差异均有统计学意义(P<0.05)。结论基层医疗机构尤以城区基层门诊及村卫生室在医院感染管理工作中存在较多问题,将成为医疗安全的隐患,需要及早干预。
OBJECTIVE To analyze the problems in control of nosocomial infections in the grass-roots medical institutions and put forward corresponding intervention measures so as to focus on the rectification of control of noso- comial infections in the grass-roots medical institutions and ensure medical safety. METHODS Through the inspection of health authorities combined with acceptance activities of standardized clinics, the onsite survey was conducted to investigate the control of nosocomial infections in 517 grass-roots medical institutions, the control of nosocomial infections in grass-roots clinics of urban area, health rooms in villages, and community healthcare institutions was compared, and the statistical analysis of data was performed with the use of SPSS17.0 software. RESULTS The major problems in the control of nosocomial infections in the grass-roots medical institutions included the loose implementation of disinfection and isolation measures（68.86%）, hand hygiene standards without being implemen- ted in place （55.32%）, incomplete system （42. 30%）, inappropriate construction layout and regional division （22.63%）, and unreasonable disposal of medical waste （21.47%） ; as compared with the grass-roots clinics in urban area, health rooms in villages, and community healthcare institutions, the differences in the five items except for implementation of hand hygiene were significant （P〈0.05）. CONCLUSION There are a variety of problems in the control of nosocomial infections in the grass-roots medical institutions, especially the grass-roots clinics in urban area and health rooms in villages, which may become the hidden dangers for medical safety, and it is necessary to take interventions in early stage.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第17期4385-4387,共3页
Chinese Journal of Nosocomiology
基金
中华医学会医学教育分会研究基金资助项目(2012-YD-18)
关键词
基层医疗机构
医院感染
干预对策
Grass-roots medical institution
Nosocomial infection
Intervention countermeasure
