综合医院门诊部医院感染管理模式与控制对策

Administration Pattern and Control Strategy of Hospital Infections in Outpatient Department of General Hospital

目的探讨综合医院门诊部医院感染管理模式与控制对策。方法调查门诊部医院感染管理的重点和高危科室,监测门诊部环境的带菌现状。结果门诊部医院感染的重点科室有急诊部、门诊手术室、注射室、输液室、口腔科、内镜室等;门诊部流行的病原菌有:葡萄球菌属、肠球菌属、假单胞菌属、大肠埃希菌、克雷伯菌属及不动杆菌属等。结论门诊部是医院感染的源头,必须加强医院感染的管理工作,从源头上消除医院感染的隐患。

OBJECTIVE To approach the administration pattern and control strategy of hospital infection （HI） in outpatient department of general hospital. METHODS The highlights of HI administration and high risk departments were investigated. Germ-carrying environment in outpatient department was monitored. RESULTS The key departments involving in HI in outpatient department comprised emergency department, outpatient operating room, injection room, transfusion room, department of stomatology, endoscope room, etc. The pathogens prevailing in outpatient consisted of Staphilococcus, Enterococcus, Pseudornonas, Escherichia coli, Klebsiella, Acinetobacter, etc. CONCLUSIONS The outpatient department is the source of HI. We should strengthen the administration of HI to eliminate the hidden danger from the source.