OBJECTIVE The aim of the study was to investigate and analyze the resource allocation and surveillance status of hospital-associated infections in secondary and above healthcare facilities in Anhui province.

METHODS Secondary and above healthcare institutions in 16 cities were selected in Mar. 2023 by convenient sampling method, and self-designed questionnaire was administered by ′wenjuanxing′ to investigate the characteristics of healthcare facilities, the management and surveillance of hospital-acquired infections.

RESULTS A total of 302 medical facilities, including 88 tertiary and 195 comprehensive facilities, completed the survey. All tertiary healthcare facilities set up the independent departments for hospital-associated infections, while 12.15% of secondary healthcare facilities did not. Totally 17.22% of healthcare facilities did not meet the standard requirements of ratio of full-time equivalents to beds, while the unqualified rate of tertiary healthcare facilities (25.00%) was higher than that of secondary healthcare facilities (14.02%). The full-time equivalents were mainly in nursing (64.89%), and relatively insufficient in other specialties. All tertiary healthcare facilities had carried out comprehensive surveillance, however, secondary healthcare facilities still needed to be improved. The allocation ratio of surveillance information for system hospital-associated infection was 37.42% in tertiary healthcare facilities, but only 18.69% in secondary.

CONCLUSIONS The hospital-associated infection management system of certain healthcare facilities in Anhui province still calls for improving, more personnel numbers and specialties are required. Besides, the construction of information system urgently needs to be strengthened. At the same time, more attention should be paid to secondary healthcare facilities, which should be supplied for more resources, carry out basic monitoring work to reduce hospital-associated infections and ensure patients′ safety.