上海市200家民营医疗机构医院感染管理现况调查

Current status of management of nosocomial infection in 200 private medical institutions of Shanghai

  • 摘要: 目的 调查上海市浦东新区民营医疗机构医院感染管理现状。方法 2023年3月3日-3月17日采用问卷星形式对上海市浦东新区200所民营医疗机构感染管理组织现状进行调查,调查主要内容包括医院管理组织体系建设情况、医院感染管理部门人才配备情况、感染防控重点环节管理。结果 200所民营医疗机构中有45所(22.50%)独立设置院感科,85所(42.50%)分管领导是院长。76所(38.00%)的医院感染管理负责人专职院感,134所(67.00%)的负责人专业背景为护理学,99所(49.50%)的负责人年收入<10万元。44所(22.00%)的民营医疗机构医院感染管理科专职人员配备符合国家要求。188所(94.00%)民营医疗机构配备了手卫生设施,74所(37.00%)配备了院感信息系统,清洁用具集中洗消烘设备共有173所(86.50%)配备。开展医院感染发病率监测的有105所(52.50%)、院感暴发监测95所(47.50%)、多重耐药菌感染监测56所(28.00%)。结论 民营医疗机构医院感染管理机制建设在不同类型民营医疗机构中存在较大差异,医院感染管理部门人才配备存在明显不足,医院感染管理质量提升有待加强。

     

    Abstract: OBJECTIVE To investigate the current status of management of nosocomial infection in the private medical institutions in Pudong Shanghai. METHODS A questionnaire survey was conducted for the current status of organization and management of nosocomial infection of 200 private medical institutions in Pudong New Area of Shanghai from Mar 3, 2023 to Mar 17, 2023. The major contents of the survey included the construction of management and organization systems, talents equipping and key links of infection prevention. RESULTS Among the 200 private medical institutions, 45 (22.50%) were set up independent hospital infection department, 85 (42.50%) were under the leadership of deans. 76 (38.00%) were taken charge by infection control professionals, the persons in charge of 134 (67.00%) medical institutions were majored in nursing, the annual income of the persons in charge of 99 (49.50%) medical institutions was less than 100,000 yuan. The allocation of professional staff of the infection control departments met the national requirements. 188 (94.00%) private medical institutions were equipped with hand hygiene facilitates, 74 (37.00%) were equipped with nosocomial infection information system, and 173 (86.50%) were equipped with centralized cleaning, disinfection and drying facilities for clean apparatuses. 105 (52.50%) conducted the surveillance of morbidity rates of nosocomial infection, 95 (47.50%) conducted the surveillance of nosocomial infection outbreaks, and 56 (28.00%) conducted the surveillance of multidrug-resistant organisms infections. CONCLUSION There is significant difference in the management mechanism of nosocomial infection among the private medical institutions, the equipped talents are remarkably insufficient in the infection control departments, and the quality of management of nosocomial infection needs to be intensified.

     

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