河南省36所基层医疗机构医院感染管理现状

Current situation of healthcareassociated infection management in 36 primary medical institutions in Henan Province

摘要:

目的调查河南省基层医疗机构医院感染管理现状及存在的问题。 方法采取随机抽样的办法对河南省18个地区36所基层医疗机构进行调查,比较2013年前后基层医疗机构医院感染管理发展情况。结果36所基层医疗机构中，31所（86.11%)具备清洁消毒与灭菌隔离制度，13所（36.11%）执行医院感染监测制度，31所（86.11%）定期进行手卫生相关知识全员培训，6所(16.67%)配备抗菌药物专职人员。2013年之前全省36所基层医疗机构医院感染管理小组、手卫生制度、员工相关知识培训、医院感染监测、抗菌药物管理部门方面开展率低于2013年后（41.67% VS 75.00%；2.78% VS 30.56%；22.22% VS 69.44%；5.56% VS 33.33%；25.00% VS 66.67%），各组比较，差异均有统计学意义（均P＜0.05）。 结论基层医疗机构医院感染管理水平较前有所提升，但仍存在不足，有待进一步改善。

Abstract:

ObjectiveTo investigate the current situation and existing problems of healthcareassociated infection(HAI) management in primary medical institutions in Henan Province. Methods36 primary medical institutions in 18 regions were investigated with random sampling method, development of HAI management in primary medical institutions before and after 2013 were compared. ResultsAmong 36 primary medical institutions, 31 (86.11%) had cleaning, disinfection, sterilization, and isolation systems, 13 (36.11%) implemented HAI monitoring system, 31 (86.11%) performed regular training on hand hygiene knowledge, 6 (16.67%) allocated antimicrobial management professionals. The development rates in HAI management group, hand hygiene system, training on related knowledge among staff, HAI monitoring, and antimicrobial management in 36 primary medical institutions before 2013 were all lower than those after 2013 （41.67% VS 75.00%；2.78% VS 30.56%；22.22% VS 69.44%；5.56% VS 33.33%；25.00% VS 66.67%, all P＜0.05）. ConclusionHAI management level in primary medical institutions has improved than before, but deficiencies still exists and needs further improvement.