OBJECTIVE To explore the application of ledger unified homogenization management in prevention and control of health care-associated infection in community health service centers.

METHODS A survey was conducted for the current status of prevention and control of health care-associated infection in 81 community health service centers in October, 2021. The survey aimed to identify the required tasks for nosocomial infection management and establish a project ledger. Additionally, standardized systems, processes and instructional videos for nosocomial infection management were developed. A scoring criteria for quality control of nosocomial infection was established, homogenized training and assessment for nosocomial infection-related knowledge and skills were carried out. The effect on the prevention and control of health care-associated infection was compared before and after the management project was implemented for 1 year.

RESULTS The prevention and control of health care-associated infection was fully carried out in all of the 81 community health service centers after the ledger unified homogenization management was implemented for 1 year, and there were significant differences in 19 of 26 tasks before and after the management project was carried out (all P < 0.05). There were significant differences in 7 of 10 scoring items for quality control of nosocomial infection: organization management, training assessment, emergency drill, hand hygiene management, disinfection management, occupational exposure treatment, medical waste management before and after the ledger unified homogenization management was carried out (P < 0.05). There were significant differences in all of the 6 items for assessment of nosocomial infection knowledge and related operation skills: hand hygiene practice, disposal of disinfectants, treatment of nosocomial infection outbreak, wearing and removing secondary protective equipment, occupational exposure treatment, sealing of medical waste before and after the ledger unified homogenization management was carried out (P < 0.05). The hand hygiene compliance rate was increased from 73.38% to 87.82% (P < 0.05). No staff had infection during COVID-19 pandemic.

CONCLUSION The ledger unified homogenization management may facilitate the standardization of prevention and control of health care-associated infection, push forward the implementation of infection control tasks, put the infection control measures into practice, and improve the quality of nosocomial infection management in the community health service centers.