内蒙古自治区医院感染管理现状调查

Current situation of healthcare-associated infection management in Inner Mongolia Autonomous Region

目的了解内蒙古自治区医院感染管理现状,分析存在问题,提出管理对策。方法采用问卷调查的方式对内蒙古地区143所二级及以上医院的医院感染管理工作情况进行调查。结果143所医院中三级医院43所(30.07%),二级医院100所(69.93%)。所有医院均成立了医院感染管理委员会,88.81%(127所)的医院设置了独立的医院感染管理部门。仅10所(6.99%)医院的医院感染管理部门配备了实验室,7所(4.90%)医院的医院感染管理人员担任科研课题负责人,26所(18.18%)医院的工作人员参与科研课题。117所(81.82%)医院开展了医院感染目标性监测,128所(89.51%)医院开展了医院感染病例监测,89所(62.24%)医院开展了医院多重耐药菌监测,90所(62.94%)医院开展了抗菌药物使用与耐药性监测,63所(44.06%)医院建立了全院医院感染监测信息系统,三级医院参与各项医院感染监测工作的比率高于二级医院,各组比较,差异均有统计学意义(均P<0.05)。结论内蒙古自治区医院医院感染管理设施配备、科研方面仍需加强,二级医院的医院感染监测工作也需进一步完善。

Objective To understand the status of healthcare-associated infection（HAI）management in Inner Mongolia Autonomous Region,analyze the existing problems,and put forward the management countermeasures.Methods A questionnaire survey was adopted to investigate status of HAI management in143 secondary and above hospitals in Inner Mongolia Autonomous Region.Results Of 143 hospitals,43（30.07%）were tertiary hospitals,and 100（69.93%）were secondary hospitals.All hospitals established HAI management committees.88.81%（n=127）of hospitals set up independent HAI management departments.Only 10（6.99%）HAI management departments had laboratories,HAI management staff in 7（4.90%）hospitals were in charge of scientific research projects,personnel in 26（18.18%）hospitals in HAI management departments participated in scientific research projects.117（81.82%）hospitals conducted targeted monitoring on HAI,128（89.51%）,89（62.24%）,and 90（62.94%）hospitals conducted monitoring on HAI cases,multidrug-resistant organisms,as well as antimicrobial use and resistance respectively,63（44.06%）hospitals established the information system of HAI monitoring,the percentage of tertiary hospitals participating in HAI monitoring was higher than secondary hospitals,difference were all significant（all P〈0.05）.Conclusion Facilities and scientific research in Inner Mongolia Autonomous Region still need to be strengthened,HAI monitoring in secondary hospitals also needs to be improved further.