OBJECTIVE To survey the current status of post competency among hospital-associated infection management personnel at various levels of medical institutions in Xinjiang Production and Construction Corps and analyze its influencing factors, as well as the institutional-level development of hospital-associated infection management systems.

METHODS A convenience sampling method was adopted, and a questionnaire survey was carried out among 497 hospital-associated infection management personnel from 131 medical institutions across 14 divisions of the Corps from Jun. 2024 to Sept. 2024. A self-assessment scale for post competency (including 4 primary indicators and 18 secondary dimensions), revised through two rounds of the Delphi method, was used for evaluation. Meanwhile, a survey of institutional organizational configurations was carried out. Descriptive statistics, univariate analysis and multiple linear regression were employed to analyze influencing factors.

RESULTS The overall mean score of job competency among hospital-associated infection management personnel was (5.19±1.33). Higher scores were observed in hand hygiene, cleaning, disinfection and sterilization, while lower scores were found in etiological specimen submission management and hospital-associated infection surveillance. Multiple linear regression analysis revealed that hospital level, hospital type, possession of relevant training certificates, professional title, years of work experience, average monthly income and job position category were independent influencing factors of post competency (P < 0.05). Institutional-level analysis identified significant deficiencies in the application of information-based surveillance systems, key process monitoring and dedicated personnel allocation in primary-level and regimental hospitals.

CONCLUSIONS Hospital-associated infection management personnel in Xinjiang Corps generally possess foundational post competency, but gaps remain in technical expertise and support systems of grassroots institutions. Regional prevention and control capabilities for hospital-associated infection should be further improved by promoting dedicated staffing in infection control roles, improving tiered and categorized training and certification systems, and strengthening resource allocation and collaborative management within medical consortia for grassroots institutions.