基层医院医院感染管理应对突发公共卫生事件能力评估

Nosocomial Infection Control in Local General Hospitals:Evaluation of Their Capabilities in Handling Public Health Emergencies

目的了解江西赣州市基层医院医院感染管理应对突发公共卫生事件的能力,为今后工作的完善提供依据。方法结合医院感染管理应对突发公共卫生事件的主要职能,对江西赣州市县市级医院采用分层随机抽样结构式访谈法,进行医院感染管理应对突发公共卫生事件能力的调查。结果共调查15所县、市医院,各院均配备了传染病疫情网络直报设备,传染病疫情报告管理人员4所为专职、11所为兼职;12所医院规范的建立了感染性疾病科或预检分诊处;7所医院的医院感染专职人员配备于2003年后;医院感染知识专职人员知晓率为73.7%;15所医院的医疗废物均加入了江西赣州市的医疗废物处置中心规范处理。结论江西赣州市在医院感染管理方面具有一定应对突发公共卫生事件的能力,但应对能力的大小各医院之间存有差异,同时部分工作有待于进一步加强和改善。

OBJECTIVE To evaluate the capabilities of nosocomial infection control in local general hospitals in handling public health emergencies, and to provide reliable data for future work. METHODS A random sampling questionnaire method was adopted to investigate how nosocomial infection control in local hospitals performed their functions and handled public health emergencies. RESULTS The 15 hospitals which were surveyed had all been equipped with computer network of directly reporting epidemic situations of infectious diseases. Four from 15 hospitals had full-time employees reporting epidemic situations, and 11 had part-time employees. Twelve hospitals established, according to standards, a department of infectious diseases or a department of pre-examination and sorting diagnosis. Seven hospitals did not have full-time staff of infection control till 2003. The rate of the staffrs knowledge of nosocomial infection control was 73.7 %. The medical wastes of the 15 hospitals were all disposed at the local medical waste disposal center. CONCLUSIONS Our city, in terms of nosocomial infection control, has acquired certain capabilities of handling public health emergencies. But the capabilities vary from hospital to hospital. Further improvement in some work is still needed.