中国基层医疗机构医院感染组织管理体系的现状调查

Current status of healthcare-associated infection organization management systems in primary medical institutions in China

目的了解基层医疗机构医院感染组织管理体系的现状。方法对全国5个省(自治区、直辖市)95所基层医疗机构医院感染组织管理体系进行调查。结果 95所基层医疗机构中,设有医院感染管理小组的82所(86.32%),设有抗菌药物管理部门的65所(68.42%),配备抗菌药物专兼职人员的87所(91.58%);2010年以前设有抗菌药物管理部门的仅26所,2015年已增至65所(68.42%)。医院感染规章制度配备情况:有医疗废物管理制度的93所(97.89%),有清洁消毒与灭菌隔离制度、一次性无菌医疗器械管理制度的各87所(91.58%),有医院感染预防与控制措施制度的79所(83.16%),有医务人员职业卫生安全防护制度的76所(80.00%),有医院感染暴发报告制度的73所(76.84%),有手卫生管理制度的69所(72.63%),有医院感染监测制度的56所(58.95%)。结论基层医疗机构医院感染组织管理体系现状有待提高,卫生行政部门应加强监督管理,提高医院感染预防和控制水平。

Objective To investigate the current situation of healthcare-associated infection（HAI）organization management systems in primary medical institutions.Methods 95 primary medical institutions in 5 provinces（autonomous regions,municipalities）in China were investigated.Results Of 95 primary medical institutions,82（86.32%）established HAI management groups,65（68.42%）set up antimicrobial management departments,87（91.58%）assigned professionals for antimicrobial management.Before 2010,only 26 antimicrobial management departments were set up,which increased to 65（68.42%）in 2015.Hospitals established rules and regulations on medical waste management（n=93,97.89%）,disinfection and sterilization（n=87,91.58%）,disposable sterile medical device（n=87,91.58%）,HAI prevention and control measures（n=79,83.16%）,occupational health and safety protection for health care workers（n=76,80.00%）,outbreak reporting system（n=73,76.84%）,hand hygiene（n=69,72.63%）,and monitoring on HAI（n=56,58.95%）.Conclusion Current situation of HAI organization management systems in primary medical institutions needs to be improved,health administrative departments should strengthen supervision to improve the level of HAI prevention and control.